HomeMy WebLinkAbout259202 05/31/16 �%.4+�\ CITY OF CARMEL, INDIANA VENDOR: 370651
® h ONE CIVIC SQUARE RONALD TENNESSEN CHECK AMOUNT: $*******100.00
9 ,_� CARMEL, INDIANA 46032 389 MYERS LAKE DR CHECK NUMBER: 259202
s,�iTON�. NOBLESVILLE IN 370651 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 052616 100.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
mr, s/YlL:5. iQonQ.l T nne— se-/I IN SUM OF $
.Z ,9'7 Mye.r 15 �,-
do 6b�;�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.
# I hereby certify that the attached invoice(s), or
/D p2.399b / d-D — bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
10 Terms
D
/e__,_5 V + l �� 2/✓ `7�(oL�� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6-1 :V7
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5-11-10-1.6.
20
Clerk-Treasurer