186469 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL INDIANA 46032 CIO MAYOR'S OFFICE CHECK AMOUNT: $51.96
`tc CIO MAYOR'S OFFICE
CHECK NUMBER: 186469
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 51.96 FESTIVAL /COMMUNITY EV
41
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Store 4345039 1
Indianapolis, IN
5/2$/2010 7;53;44 AM
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Order Number 65395
Register;l Tran Seq No: 65395
Cashier:Hiram E.
4 Bx Joe Orig Blnd 51.96
ib. Total: $51 g•
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tal: $56.64
scount Total: $0.00
3nge $0.00
3a: $56.64
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Petty Cash Mayor Brainard
IN SUM OF
One Civic Square
Carmel, IN 46032
$51.96
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 Receipt 43- 590.03 $51.96 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
which charge is made were ordered and
received except
Friday, June 04, 2010
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts 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))
05/28/10 Receipt $51.96
1 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