HomeMy WebLinkAbout303867 10/06/16 i CITY OF CARMEL, INDIANA VENDOR: 371203
ONE CIVIC SQUARE JESSICA CORNELIUS CHECK AMOUNT: $""" "28 22'
=q CARMEL, INDIANA 46032 2254 SEASONS SOUTH DR#215 CHECK NUMBER: 303867
y_roN. INDIANAPOLIS IN 46280 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 692353907 28.22 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
371203
Cornelius, Jessica Purchase Order No.
2254 Seasons South Dr#215 Terms
Indianapolis, IN 46280 Due Date 10/4/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2016 692353907 28.22
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 # 162928 WARRANT# ALLOWED
371203 IN SUM OF $
Cornelius, Jessica
2254 Seasons South Dr#215
Indianapolis, IN 46280
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
692353907 01-4611-00 28.22
Voucher Total 28.22
Cost distribution ledger classification if
claim paid under vehicle highway fund