180990 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 359207 Page 1 of 1
ONE CIVIC SQUARE DAVID M TRICE
l,`. CARMEL, INDIANA 46032 PO BOX 1511 CHECK AMOUNT: $74.38
NOBLESVILLE IN 46061 -1511 CHECK NUMBER: 180990
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,1207 4239040 74.38 TIP
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
6r A7/ Terms
A- 1 f Ti--) V661,9 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
l l 24
Total 7Z/ g
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
O. 13.( .s
h12, so ik 4420
2
ON ACCOUNT OF APPROPRIATION FOR
66,6E/2(34
Oq 6cil -P
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/7 SgO 4 -24 �7 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
c )Q 20
6,0 i nature
Cost distribution ledger classification if TI li e
claim paid motor vehicle highway fund