HomeMy WebLinkAbout185769 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364207 Page 1 of 1
ONE CIVIC SQUARE CHRISTA HARRIS
0 CARMEL, INDIANA 46032 2310 RIPPLING WAY S APT B CHECK AMOUNT: $100.00
INDIANAPOLIS IN 46260
CHECK NUMBER: 185769
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
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 I
Purchase Order No.
o la I v R i Terms
_X;/ 4'o Z(' d Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)))
S- lo rt MeV 2 I O
Total L/
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
5 IN SUM OF
a
4-1� 2 d
/dam
ON ACCOUNT OF APPROPRIATION FOR
EA/
o Rey,
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/o SDa3cjg0 DD 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