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„! CITY OF CARMEL, INDIANA VENDOR: 321700
j d ONE CIVIC SQUARE THE WALL STREET JOURNAL CHECK AMOUNT: $*******420.00*
?� CARMEL, INDIANA 46032 200 BURNETT RD CHECK NUMBER: 302711
M,�roN�° CHICOPEE MA 01020 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355200 RENEWALNOTIC 420.00 SUBSCRIPTIONS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
THE WALL STREET JOURNAL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
200 BURNETT RD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CH ICOPEE, MA 01020 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$420.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Mayor's Office 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
RENEWAL 43-552.00 $420.00 1 hereby certify that the attached invoice(s),or 8/26/16 RENEWAL $420.00
NOTICE NOTICE
1160 101 bill(s)is(are)true and correct and that the 1160 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday,August 31,2016
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
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