319218 11/30/2017 iii�.S�gyf
,; ;• CITY OF CARMEL, INDIANA VENDOR: 357304
ONE CIVIC SQUARE JAMES HOBBS CHECK AMOUNT: $********41.02*
CARMEL, INDIANA 46032 11180 E.111TH STREET CHECK NUMBER: 319218
FISHERSIN 46038 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 0 41.02 OTHER MAINT SUPPLIES•
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 357304 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JAMES HOBBS IN SUM OF$ CITY OF CARMEL
11180 E. 111TH STREET 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.
FISHERS, IN 46038
Payee
$41.02
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 42-389.00 $41.02 1 hereby certify that the attached invoice(s),or 11/22/17 0 $41.02
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, November 29,2017
Huffman, Dave
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer