HomeMy WebLinkAbout258778 05/23/16 u'.�±q,, CITY OF CARMEL, INDIANA VENDOR: 370630
® �; ONE CIVIC SQUARE DAVID MONTGOMERY CHECK AMOUNT: $******"300.00*
x. ,?a; CARMEL, INDIANA 46032 PO Box 1187 CHECK NUMBER: 258778
9;;,,_.: CARMEL IN 46082 CHECK DATE: 05/23/16
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 740166200 300.00 OTHER EXPENSES
VOUCHER# 161564 WARRANT# ALLOWED
370630 IN SUM OF $
MONTGOMERY, DAVID
PO Box 1187
Carmel, IN 46082
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
740166200 01-4611-00 $300.00
Voucher Total $300-00
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
370630
MONTGOMERY, DAVID Purchase Order No.
PO Box 1187 Terms
Carmel, IN 46082 Due Date 5/18/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2016 740166200 $300.00
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