260324 06/28/16 1��"G4F�
a.Y �f� CITY OF CARMEL, INDIANA VENDOR: 362878
at.. CHECK AMOUNT: $********42.42*
'; ® ONE CIVIC SQUARE 2 2 A 30TH ST
AREHOUSE CHECK NUMBER: 260324
s. ;?, CARMEL, INDIANA 46032
9M�TON�o. INDIANAPOLIS IN 46218 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 030E23G5 42.42 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
354275
TBA WAREHOUSE-INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 6/20/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/20/2016 030E2365 $42.42
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
Date Officer