HomeMy WebLinkAbout329043 08/22/18 a°�-c,eb
/ � CITY OF CARMEL, INDIANA VENDOR: 370349
ONE CIVIC SQUARE SHANE BURNHAM CHECK AMOUNT: $********32.99*
r. ,�o CARMEL, INDIANA 46032 11874 SPRINGFIELD COURT CHECK NUMBER: 329043
9M�*oN�` FISHERS IN 46038 CHECK DATE: 08/22/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4230200 896862 32.99 OFFICE SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 370349 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SHANE BURNHAM IN SUM OF$ CITY OF CARMEL
11874 SPRINGFIELD 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
$32.99
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Engineering
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
896862 42-302.00 $32.99 1 hereby certify that the attached invoice(s),or 8/8/18 896862 Planner-Shane Burnham $32.99
2200 2200 2200 2200
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
Friday,August 17, 2018
Jeremy Kashman
Director
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
Office`DEPOT.
off i6ceAlar
CARMEL - (317) 818-2690
08/08/2018 12;21 PM
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SALE 6545-3-484-749485-18.7.2
896862 P_LANNER,'RY191W 32.99 S:;
Subtotal: 3
IN State Tax 7% 2.T1
Total: 35.30 .;.
:....Debit- Card 9996: 35.30
TDS Chip Read
ilp :nQ000000980840' US DEBIT '
1VR 8000048000
CV5:,PIN Verif'ie'd
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