303870 10/06/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 371201
ONE CIVIC SQUARE ROBERT GANGSTED CHECKAMOUNT: $********13.14*
CARMEL, INDIANA 46032 8169 BRENT AVE CHECK NUMBER: 303870
INDIANAPOLIS IN 46240 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1871290004 13.14 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
371201
Gangsted, Robert Purchase Order No.
8169 Brent Ave Terms
Indianapolis, IN 46240 Due Date 10/4/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2016 1871290004 13.14
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 # 162926 WARRANT # ALLOWED
371201 IN SUM OF $
Gangsted, Robert
8169 Brent Ave
Indianapolis, IN 46240
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1871290004 01-4611-00 13.14
Voucher Total 13.14
Cost distribution ledger classification if
claim paid under vehicle highway fund