HomeMy WebLinkAbout184191 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364054 Page 1 of 1
s ONE CIVIC SQUARE ELLEN BRANKS CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 11170 WOODBURY DR
CARMEL IN 46033 CHECK NUMBER: 184191
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
le r j'1 S Purchase Order No.
//170 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
kS LL_) n 0
.Jv� e� ZUiD
Total /pa
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF$
//70
m e-
ON ACCOUNT OF APPROPRIATION FOR
GEn/-
kc, V\ e-L
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund