332849 11/30/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 362123
ONE CIVIC SQUARE GREGORY HOLLANDER CHECKAMOUNT: S********18.00*
CARMEL, INDIANA 46032 1054 BRISTOL ROAD CHECK NUMBER: 332849
INDIANAPOLIS IN 46280 CHECK DATE: 11/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 18.00 OTHER EXPENSES
VOUCHER NO. 183455 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor #362123 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
HOLLANDER, GREG CITY OF CARMEL
WATER DISTRIBUTION 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
18.00 362123 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR HOLLANDER, GREG Terms
Carmel Water Utilitv WATER DISTRIBUTION Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), '
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is mademere ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
HOLLANDER 01-6040-05 $18.00 and received except 11/26/2018 HOLLANDER $18.00
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
ircle Center Mall (�
C`p 49 W Maryland St /
Indianapolis IN 46204
F/C #02 A Payment No.00049104
'\T/D #36 Ticket No.073222
Cashier ID #101 101
Entry Time 11/9/2018 (Fri) 8:19,
Paid Time 11/9/2018 (Fri) 16:03
Parking Time 7:44
Parking Fee Rate A $18.00
MC
Account.#
Slip # 20466
Auth Code 074797.
CREDIT CARD AMOUNT $18.00
Cash Amount $0.00
-------------------=--------------------------
----------------------------------------------
Total $18.00
Thank you! Have a Nice Day!
Moon Garage Booth 2
----=-----------------------------------------
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