181226 01/13/2010 ,4, CITY OF CARMEL, INDIANA VENDOR: 117775 Page 1 of 1
I ONE CIVIC SQUARE H.J. SPIER CO, INC
0 CHECK AMOUNT: $150.00
i O CARMEL, INDIANA 46032 5750 CASTLE CREEK PARKWAY,SUITE 15
INDIANAPOLIS IN 46250 -0359 CHECK NUMBER: 181226
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4347500 75707 75.00 GENERAL INSURANCE
1301 4347500 75708 75.00 GENERAL INSURANCE
Stm. Eff° Date Trn Description Amount-
INVOICE 75707
161747 01/01/10 REN 10 -11 Bond Renl Poindexter 75.00
Invoice Balance: 75.00
Please return the top portion with payment to H.J. Spier
Co.
Thank you
Itm Eff :Date Trn Description Amount
INVOICE 75708
161748 01/01/10 NEW 10--11 Bond Rott 75.00
Invoice Balance: 75.00
1
Please return the top portion with payment to H.J. Spier
Co.
Thank you!
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 4... %.fl f j c Purchase Order No.
57.50 Nx2n e Aw `4.,01 )44/Terms
o Jl44,d,14yc w v a 464 co Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1a�21 J 1..c 7 75. 06
id/471/09 15` 0 k f 75.0 v
Total 4 /.7)-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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO
ALLOWED 20
IN SUM OF
aer,alkx, cam.1', y 150
_444.e ot ei(ar 50
$4 0 0
ON ACCOUNT OF APPROPRIATION FOR
&O,u,L5
Board Members
Pots or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
01 7 S7o 7 zf 75 4 75.0 bill(s) is (are) true and correct and that the
/50 7S7o S 1 7 S 7 00 materials or services itemized thereon for
which charge is made were ordered and
received except
Asium
Wo 1
i A Mb`X
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund