182858 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
0 ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $12.99
4` CARMEL, INDIANA 46032 C/O DEPT OF LAW
CIO DEPT OF LAW CHECK NUMBER: 182858
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 12.99 PROMOTIONAL FUNDS
r�nbwr
C ur N \u� '-7-� 4 o r r
14181 S Rarlge 1 i nee .rR&)
46032-�'
3 7 -846 7756
HANEY, TAMh1Y
DOE Tue 12/01/09 05 iii PM
Emp A.A
Drop; 11127 00;11 PM
�D al�r�Zl S w Ma rrrren C� cs 0 a-
Men t 1 12.99
Total: $12,9
Tax: $0.0
ta1'. $12.9
355 f DU uA'NEY, TAMMY
(317) 043 -2062
DUE Tue 12/01 /09 05:00 pM
Emp AA
D rOp 11/27 06 ;11 PM
Garment!.: r acs, ota
Men is 2 tGi, i 7b�g 1 12 :'99
�CS, i
1; TO`1 all 12'99
$0.01
i
BANG/
F 685 --2Y
-i
Gr. Total $12.99
Retail
Prescribed by Smote Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
3/1/10 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
D oug Haney Purchase Order No.
Terms
Carmel IN 46033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/27/09 Receipt Holiday on the Square Cleanin a a suit $12-9c)
Total $12.99
1 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.
3/1/10
I ALLOWED 20
`Doug Haney
IN SUM OF
4
Carmel IN 46033
12.99
ON ACCOUNT OF APPROPRIATION FOR
1160- Mayor- 4355100
Promotional fun
Board Members
Pots or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Recei t 4355100 $12.99 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
3/1 2010
f 4. Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund