HomeMy WebLinkAbout259296 06/03/16 1 W'C,N4
CITY OF CARMEL, INDIANA VENDOR: 370657
:l ONE CIVIC SQUARE JUSTIN MOLL CHECK AMOUNT: $*********6.1 1*
CARMEL, INDIANA 46032 13436 HOOSIER HILL DR CHECK NUMBER: 259296
APT 101 CHECK DATE: 06/03/16
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1020112803 6.11 OTHER EXPENSES
VOUCHER # 161660 WARRANT# ALLOWED
370657 — IN SUM OF $
MOLL, JUSTIN
13436 HOOSIER HILL DR APT 101
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1020112803 01-4611-00 $6.11
Voucher Total $6.11
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
370657
MOLL, JUSTIN Purchase Order No.
13436 HOOSIER HILL DR APT 101 Terms
CARMEL, IN 46032 Due Date 6/1/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2016 1020112803 $6.11
hereby certify that the attached invoice(s), or bill(s) is (are)true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer