185479 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 360212 Page 1 of 1
s ONE CIVIC SQUARE MATT WORTHLEY CHECK AMOUNT: $11.69
CARMEL, INDIANA 46032 14383 GEORGE COURT
CARMEL IN 46032 CHECK NUMBER: 185479
CHECK DATE: 5/1112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4239099 042310 11.69 DUPLICATE KEYS
'k-
7 W;
WHITE'S AGE HARDWARE
731 S. RANGELINE RD
.1 CARMEL, IN.
KEY SINGLE CUT 11.69
7 1.670
SUBTOTAL 11.69
TAXO1
TOTAL 12.51
CASH 20.00
CHANGE 7.49
THANK-YOU!
PAD 04/23/10 12:55GN @35881471 21
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
Purchase Order No.
5 7 11 :tb .S� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7 kc s M e 11. 1
Total I 1 (7
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
57
COO 1 40 2
e b
ON ACCOUNT OF APPROPRIATION FOR
902 42 -:3 3 0 99
Board Members
Pots or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT_ I hereby certify that the attached invoice(s), or
QZ
04 2:3)0 4239099 11.69 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 10
ignature
pirector of Redevelopment
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund