HomeMy WebLinkAbout303169 09/15/16 y w.c;W,y
CITY OF CARMEL, INDIANA VENDOR: 371123
`"/ � CHECK AMOUNT: $********49.64*
�= �?•: ONE CIVIC SQUARE JOSHUA JOHNSON
_� CARMEL, INDIANA 46032 26700 MIRAGE DR CHECK NUMBER: 303169
9�'l�oii � CONIFER CO 80433 CHECK DATE: 09/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION -
601 5023990 1032268304 49.64 OTHER EXPENSES
VOUCHER # 162704 WARRANT # ALLOWED
371123 IN SUM OF $
johnson, joshua
26700 mirage dr
conifer, co 80433
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1032268304 01-4611-00 49.64
Voucher Total 49.64
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
371123
johnson,joshua Purchase Order No.
26700 mirage dr Terms
conifer, co 80433 Due Date 9/13/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/13/2016 1032268304 49.64
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