HomeMy WebLinkAbout259938 06/24/16 `+"'`""*F CITY OF CARMEL, INDIANA VENDOR: 00352899
Q3 'il ONE CIVIC SQUARE ADRIENNE KEELING CHECK AMOUNT: 5********40.00*
x. ?� CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 259938
9a,�TON"� CIO DOCS CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4230000 2016027831 21.00 OFFICIAL FORMS
1192 4230000 2016027832 19.00 OFFICIAL FORMS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ADRIENNE KEELING ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
C/O Docs IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
C/O DOCS rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$40.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2016027832 42-300.00 $19.00 I hereby certify that the attached invoice(s),or 6/20/16 2016027832 Plat $19.00
1192 101 1192 101
2016027831 42-300.00 $21.00 bill(s)is(are)true and correct and that the 6/20/16 2016027831 Plat $21.00
1192 101 1 materials or services itemized thereon for 1192 1 101
which charge is made were ordered and
received except
Monday, June 20,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer