303874 10/06/16 �ut.4�q y
F CITY OF CARMEL, INDIANA VENDOR: 371197
�>t '`�. CHECK AMOUNT: $*******"98.50•
.y ONE CIVIC SQUARE GRANT MURSCH
s ;_� CARMEL, INDIANA 46032 516 KENT LANE CHECK NUMBER: 303874
94j�TON�p , CARMEL IN 46032 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 512141108 98.50 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
371197
Mursch, Grant Purchase Order No.
516 Kent Lane Terms
Carmel, IN 46032 Due Date 10/4/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2016 512141108 98.50
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 # 162922 WARRANT # ALLOWED
371197 IN SUM OF $
Mursch, Grant
516 Kent Lane
Carmel, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
512141108 01-4611-00 98.50
Voucher Total 98.50
Cost distribution ledger classification if
claim paid under vehicle highway fund