HomeMy WebLinkAbout303877 10/06/16 CITY OF CARMEL, INDIANA VENDOR: 371192
® 1 ONE CIVIC SQUARE VITHANETH ROZENBERG CHECK AMOUNT: $"" *****20.79'
?a CARMEL, INDIANA 46032 1173 KENWOOD DR CHECK NUMBER: 303877
GREENWOOD IN 46143 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0672090720 20.79 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
371192
Rozenberg, Vithaneth Purchase Order No.
1173 Kenwood Dr Terms
Greenwood, IN 46143 Due Date 10/4/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2016 0672090720 20.79
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# 162917 WARRANT# ALLOWED
371192 IN SUM OF $
Rozenberg, Vithaneth
1173 Kenwood Dr
Greenwood, IN 46143
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# iNV# ACCT# AMOUNT Audit Trail Code
0672090720 01-4611-00 20.79
Voucher Total 20.79
Cost distribution ledger classification if
claim paid under vehicle highway fund