HomeMy WebLinkAbout303175 09/15/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 353617
ONE CIVIC SQUARE GARY MERRILL CHECKAMOUNT: $*******400.00*
CARMEL, INDIANA 46032 24880 SIX POINTS ROAD CHECK NUMBER: 303175
SHERIDAN IN 46069 CHECK DATE: 09/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 735045 400.00 OTHER EXPENSES
VOUCHER # 166153 WARRANT # ALLOWED
353617 IN SUM OF $
MERRILL, GARY
24880 SIX POINTS ROAD
SHERIDAN, IN 46069
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
735045 01-720H-08 400.00
Voucher Total 400.00
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
353617
MERRILL, GARY Purchase Order No.
24880 SIX POINTS ROAD Terms
SHERIDAN, IN 46069 Due Date 9/13/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/13/2016 735045 400.00
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
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<ada,►,s• keep this slip for reference DC5808UWIO-13