186277 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 364237 Page 1 of 1
k ONE CIVIC SQUARE MICHAEL DODSON
CARMEL, INDIANA 46032 13062 DOUBLE EAGLE DR CHECK AMOUNT: $100.00
CARMEL IN 46033
CHECK NUMBER: 186277
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
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
0 0X.- 5 o h Purchase Order No.
z 50,1vb/e-- F
a-rw1 ot_f =A/ Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total f C-
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
O 2 ,�dcJ10 l
car- PI) /tl 3 _3
�v
ON ACCOUNT OF APPROPRIATION FOR
6EA1
P e- �u n oL
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/0 .5b23 y90 y /0-6 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