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260005 06/24/16
CITY OF CARMEL, INDIANA VENDOR: 370753 i ONE CIVIC SQUARE PRINCE VARMA CHECK AMOUNT: $*******835.00* x+ ;q CARMEL, INDIANA 46032 13257 CAMILLO CT CHECK NUMBER: 260005 vM`TON.coS CARMEL IN 46074 CHECK DATE: 06/24/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1102132401 835.00 OTHER EXPENSES Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. 7 CARMEL, INDIANA Favor Of 13267 CbM--110 ct �r�e LN ydo� Total Amount of Voucher $ Deductions 9,13 Y35 ©O o b/ oU Amount of Warrant $ 3 5 ®C7 Month of Yr VOUCHER RECORD Acct. No. Source of Supply Water Treatment Transmission and Dist. Customer-Accounts i Administrative and General Operation-Maintenance Utility Plant in Service Constr.Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS•SYSTEMS 1-800-382-8702 325 I Prescribed by State Board of Accounts Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS nvoice Date Invoice Number Item Amount I hereby certify that the attached invoice(s), or 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 Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title