303268 09/26/16 CITY OF CARMEL, INDIANA VENDOR: 048060
ONE CIVIC SQUARE CARMEL POSTMASTER CHECK AMOUNT: $****'*.**46.00'
CARMEL, INDIANA 46032 %LISA CHECK NUMBER: 303268
CARMEL IN 46032
*rroH CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 091416 23.00 OTHER EXPENSES
651 5023990 091416 23.00 OTHER EXPENSES
VOUCHER # 162720 WARRANT# ALLOWED
48060 IN SUM OF $
CARMEL POSTMASTER -ADMIN
% LISA
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
091416 01-6200-08 23.00
l �
Voucher Total 23.00
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
48060
CARMEL POSTMASTER-ADMIN Purchase Order No.
% LISA Terms
CARMEL, IN 46032 Due Date 9/14/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/14/2016 091416 23.00
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
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT
CARMEL, INDIANA
Favor Of
C-,4P"h PDsf 010F,c e
Total Amount of Voucher $
Deductions
Amount of Warrant $ OC'�
Month of Yr
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Tre ment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1.800-382-8702 325
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title