323059 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 00350062
ONE CIVIC SQUARE SCOTT OSBORNE CHECK AMOUNT: $*******528.48*
CARMEL, INDIANA 46032 19702 SIX POINTS ROAD CHECK NUMBER: 323059
v SHERIDAN IN 46069
CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 589082 528.48 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350062 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SCOTT OSBORNE IN SUM OF$ CITY OF CARMEL
19702 SIX POINTS ROAD 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.
SHERIDAN, IN 46069
Payee
$528.48
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
589082 42-370.00 $528.48 1 hereby certify that the attached invoice(s),or 3/17/18 589082 $528.48
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
Saturday, March 17, 2018
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
509002
TERMS
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CURRENT OVER 30 DAYS OVER 60 DAYS FOTAL
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