186016 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: T361402 Page 1 of 1
ONE CIVIC SQUARE TIM WOMICK
CARMEL, INDIANA 46032 1087 CAMDEN CT CHECK AMOUNT: $850.00
ASHEBORONC 27203 CHECK NUMBER: 186016
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4341999 850.00 OTHER PROFESSIONAL FE
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Tim Womick %Appleseeda
1087 Camden Court
Asheboro, NC 27203
(336) 672 -0548
(336) 653 -1051 -Cell DO
appleseedz @earthlink.net
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VOUCHER NO.' WARRANT NO.
ALLOWED 20
Timothy H. Womick
IN SUM OF
1087 Camden Ct.
Ashborc, NC 27203
$850.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOGS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 43- 419.99 $850.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
ry� F
which charge is made were ordered and
received except
onday, ay 24, 2010
Director, CS
Title.
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
Prescribed by State Board of Accounts City Fcrm 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))
05/06110 Arbor Day Appearance $850.00
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