HomeMy WebLinkAbout320389 01/05/18 Jif_G4NM� "
�.�. .•r . CITY OF CARMEL, INDIANA VENDOR: 343580':
ONE CIVIC SQUARE NANCY L ZELLERS CHECK AMOUNT: $""""*20.00'
CARMEL, INDIANA 46032 10030 WYNHAM COURT CHECK NUMBER: 320389_ FISHERS IN;46038 CHECK DATE: 01/05/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358200 21947140 20.00 SPECIAL INVESTIGATION
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 343580
NANCY L ZELLERS IN SUM OF$ CITY OF CARMEL
10030 WYNHAM COURT 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
$20.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
21947140 43-582.00 $20.00 1 hereby certify that the attached invoice(s),or 1/3/18 21947140 reimbursement for death certificate $20.00
1110 101 1110 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,January 3,2018
Jim Barlow
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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STATE OF TENNESSEE
Health
Office 34301003
12/19/2017 11:58 AM
Cashier: CLARL0421001
Batch #: 1022835
Trans #: 143
Workstation_ - DC2019WM22---_----
Vital Records
Receipt #: 21947140 $15.00
1. HL245 Death Verify . $5,00
1. HL250 Expedite $20,00
Payment Total:
$20.00
Transaction Total:
Check 21 $20.00
Thank you for your payment.
Have a nice dayl