260280 06/28/16 y us-G4gy
CITY OF CARMEL, INDIANA VENDOR: 369240
ONE CIVIC SQUARE ROBERT E PATTERSON CHECK AMOUNT: $""`2,000.00'
CARMEL, INDIANA 46032 PO BOX 3159 CHECK NUMBER: 260280
CARMEL IN 46082-3159 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4352500 071516 2,000.00 RENT PAYMENTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ROBERT E PATTERSON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 3159 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46082-3159 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$2,000.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
0 43-525.00 $2,000.00 I hereby certify that the attached invoice(s),or 6/14/16 0 $2,000.00
1120 Mist 101 1120 101
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
Tuesday,June 14,2016
Dav®r
David Haboush
Fire Chief
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