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303262 09/22/16
.ESA ��' ''F CITY OF CARMEL, INDIANA VENDOR: 368343 I 8j ONE CIVIC SQUARE RICHARD THOMAS CHECK AMOUNT: $*******100.00* �• _� CARMEL, INDIANA 46032 CHECK DATE: 09/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 092116 100.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. l / ALLOWED 20 . IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR nn Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# ! hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) q-ao�i AIM Z,A114 - zo ©s SAa Total — 1 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 Clerk-Treasurer