307692 01/27/17 Q
CITY OF CARMEL, INDIANA VENDOR: 370216 CHECK AMOUNT: S********54.61
CHRISTINE PAULEY CHECK NUMBER: 307692
ONE CIVIC SQUARE g7 11TH ST NW CHECK DATE: 01/27/17
CARMEL, INDIANA 46032 CARMEL IN 46032
AMOUNT DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER 54.61 TRAVEL PER DIEMS
1701 4343004
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Prescribed by State Board of Accounts City Fonn 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
2Purchase Order No.
NUJ Terms
r I fit SLS- `c(yo�2, Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
' 1zI V -68-x4 n CA .�
17nviV') IS�OIX�C-C.
i) a3+aft- Caorbl
o2
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)trucorrect and I v u ted s e acco -
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasu r
Capitol Commons
**EXIT **
DATE :01/17/17
TIME :01:10: PM
Receipt No. 13/984/89
* Original *
Ticket: 456807
Entry : 01/17/17 09:07 AM
LPR :UNY559
TAX included 30.00
Credit 30.00
Trans ID : 196766
Card No. xxxxxxxxxxxxO849
Card Type: VISA