260401 07/07/16 JY w"• CITY OF CARMEL, INDIANA VENDOR: 370788
® ONE CIVIC SQUARE MELVIN BENJAMIN CHECK AMOUNT: $*******451.17*
CARMEL, INDIANA 46032 6532 YORKSHIRE CIR CHECK NUMBER: 260401
9M(TON�� ZIONSVILLE IN 46077 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 465416005 451.17 OTHER EXPENSES
VOUCHER # 161987 WARRANT# ALLOWED
370788 IN SUM OF $
BENJAMIN, MELVIN
6532 YORKSHIRE CIR
ZIONSVILLE, IN 46077
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
465416005 01-4611-00 451.17
Voucher Total 451.17
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
370788
BENJAMIN, MELVIN Purchase Order No.
6532 YORKSHIRE CIR Terms
ZIONSVILLE, IN 46077 Due Date 7/5/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/5/2016 465416005 451.17
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