319650 12/15/17 r CAq.
CITY OF CARMEL, INDIANA VENDOR: 354402
CHECK AMOUNT: $********23.97*
.,; 6 i;• ONE CIVIC SQUARE DAVID HABOUSH
?� CARMEL, INDIANA 46032 1942 TROWBRIDGE HIGH STREET CHECK NUMBER: 319650
CARMEL IN 46032 CHECK DATE: 12/15/17
��ON GO
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355100 23.97 PROMOTIONAL FUNDS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 354402 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DAVID HABOUSH IN SUM OF$ CITY OF CARMEL
1942 TROWBRI DGE HIGH 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.
CARMEL, IN 46032
Payee
$23.97
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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 43-551.00 $23.97 1 hereby certify that the attached invoice(s),or 12/12/17 0 $23.97
1120 101 1120 101
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, December 13,2017
David Haboush
Fire Chief
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
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DISCOVER CRECIT CARO TENDER 23.97
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