185181 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364130 Page 1 of 1
ONE CIVIC SQUARE CARMEL GREEN TEAM PROGRAM CHECK AMOUNT: $100.00
ro CARMEL, INDIANA 46032 C/O MS. MARGOT GIBSON
13810 LAREDO DRIVE CHECK NUMBER: 185181
CARMEL IN 46032
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 REIMB 100.00 OTHER EXPENSES
Prescribed by State Board otAccounts 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
?�.'1 v e 11 ✓V�GVL 1 G J h l,��YS.. �l i�X-Lf
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
f �rm� j (�r��n ►vi rotgre IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
R 84�.� V-\ 6L
Board Members
PO# or INVOICE NO. ACCT /TIT>_E AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
D
.50;2,3 990 v1 v 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
If ff
r
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund