HomeMy WebLinkAbout321471 02/07/18 CITY OF CARMEL, INDIANA VENDOR: 366059
"= CHECK AMOUNT: $"*"*"*'26.00*
'.�; b �• ONE CIVIC SQUARE SHAWN COOKSEY
?q_ CARMEL, INDIANA 46032 C/O WATER DISTRIBUTION CHECK NUMBER: 321471
CHECK DATE: 02/07/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 26.00 OTHER EXPENSES
'G
VOUCHER NO. 174019 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
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Vendor # 366059 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
COOKSEY, SHAWN CITY OF CARMEL
CARMEL WATER 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,
numbers of units, price per unit, etc.
Payee
26.00 366059 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR COOKSEY,SHAWN Terms
Carmel Water Utility CARMEL WATER Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), '
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
COOKSEY 01-6040-05 $26.00 and received except
1/29/2018 COOKSEY $26.00
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund.
20_
Clerk-Treasurer
.... TU
PLAZA PARK
PLEASE KEEP THIS TICKET
WITH YOU
Entered/Arriuee:
2018/01/24 09:24
Ticket/Billet#:35575486
Dur/Ouree:5:47:56
Paid On/Paye Le:
2018/01/24 15:12
Paid/Paye:$ 26.00
—Or=iginal—Fee::$--26-00
CST-.$ 0.00
PST:$ 0.00
Change:$ 0.00
UISA
SC:$ 0.00
Merchant ID:
***********4!6622 S
UISA
Seq# 478300003 01203
Purchase 18/01/24 15:18:56
Auth# 071215
APPROUED