HomeMy WebLinkAbout184384 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364034 Page 1 of 1
ONE CIVIC SQUARE HUA LUO
CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 14023 WASHITA CT
CARMEL IN 46033 CHECK NUMBER: 184384
CHECK DATE: 4114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 75.00 PRIZE MONEY
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Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 1
Check payable to
Name: H o
Address: f 2 S'f� C:
City, State, Zip r /6�
i/ Mail check to a ee Return check to re uestor
PY 9
Check Amount l c c Date Required Zb 10
Check needed far RI
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Supporting documentation or receipt(s) MUST be attached.
BAR 2 4 2010
To be paid from
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PO I" l l U�) r �i BY.....
Budget account GL IU`1 L -SG z[ 2 3cl 0 `'1
Budget Line Description Genet �jy�r► iflJ� 1 S
Requested by (print):
Requested by (signature): Jtl-
Approved by (signature of Division Manager): _Z>12:3110
on this date
Form revised 1 -21 -08
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Terms
Luo, Hua
14023 Washita Ct
Carmel, IN 46033
Invoice invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
75.00
3113110 USATT USATT winner
Total tEEE 75.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with lC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Luo, Hua Allowed 20
14023 Washita Ct
Carmel, IN 46033
In Sum of
ar 75.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 USATT 4239039 75.00 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
8-Apr 2010
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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