HomeMy WebLinkAbout260142 06/28/16 Q
CITY OF CARMEL, INDIANA VENDOR: 361415
ONE CIVIC SQUARE PENNY DALEY CHECK AMOUNT: S*""""`125.00'
CARMEL, INDIANA 46032 520 SUPERSTAR COURT CHECK NUMBER: 260142
CARMEL IN 46032 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 061616 125.00 OTHER EXPENSES
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
361415
DALEY, PENNY Purchase Order No.
DISTRIBUTION Terms
Due Date 6/9/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/2016 61616 $125.00
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
Cleaning Invoice
Date Fee Place
16-Jun-16 $125 Water Dist Office
Please remit to: Penny Daley
Carmel Water Dist Office
3450 W 131st St
Carmel, IN 46074
317-733-2855
Total Due $125.00
P ny Daley
520 Super Star Ct
Carmel, IN 46032
317-374-1542
lY/