184691 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 358802 Page 1 of 1
ONE CIVIC SQUARE BUDGET BLINDS
CARMEL, INDIANA 46032 Po BOX 682
CHECK AMOUNT: $143.00
FISHERS IN 46038 CHECK NUMBER: 184691
ON
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 204 143.00 OTHER MISCELLANOUS
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Budget B�udso[[ndv u"."~=o~°"°
Post Office Box 6Q2
Fishers, ON4dO3B 4/2/2,010 204
Bill To
I Civic Square
Clerk Treasurer Office
Carmel, IN 4603 32
P0. No. Terms Project
Quantity Description Rate Amount
Picated Shadc 14-3 00 143.00
Total 11 4 3.00
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
e- hA i Kd(� 6L rVAA- Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
fAl
Total
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ere y
DEPT. ACCT #/TITLE AMOUNT 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund