320553 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 361875 "
® 3'r ONE CIVIC SQUARE VICTORY TROPHY SHOPPE CHECK AMOUNT: $`*******60.00*
?� CARMEL, INDIANA 46032 24880 SIX POINTS ROAD CHECK NUMBER: 320553
9MiroN. .` SHERIDAN IN 46069 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 424904 60.00 OTHER EXPENSES
VOUCHER NO. 177105 WARRANT N0. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 361875 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
VICTORY TROPHY SHOPPE I CITY OF CARMEL
24880 SIX POINTS RD. An invoice or bill to be properly itemized must show: kind of service,where performed,
SHERIDAN, IN 46069 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
60.00 361875 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR VICTORY TROPHY SHOPPE Terms
Carmel Wasterwater Utility 24880 SIX POINTS RD. Due Date
BOARD MEMBERS
I hereby certify that that attached invoice SHERIDAN,IN 46069
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
424904 01-7202-05 $60.00 and received except 12/27/2017 424904 $60.00
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20
Clerk-Treasurer
aLA �o 8Lx +s 2d ► 2490
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.ams keep this slip for reference " Dc5808UV/I0-13