HomeMy WebLinkAbout303864 10/06/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 354061
ONE CIVIC SQUARE LISA BLOOM CHECKAMOUNT: $*******157.96*
CARMEL, INDIANA 46032 PO BOX 3734 CHECK NUMBER: 303864
BRENTWOOD TN 37024 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 261754002 157.96 OTHER EXPENSES
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
354061
BLOOM, Lisa Purchase Order No.
PO BOX 3734 Terms
Brentwood, TN 37024 Due Date 10/4/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2016 261754002 157.96
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 # 162934 WARRANT# ALLOWED
354061 IN SUM OF $
BLOOM, Lisa
PO BOX 3734
Brentwood, TN 37024
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
261754002 01-4611-00 157.96
Voucher Total 157.96
Cost distribution ledger classification if
claim paid under vehicle highway fund