186776 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364286 Page 1 of 1
ONE CIVIC SQUARE MATT COMPORATO
CARMEL, INDIANA 46032 13872 CAROLINA COURT CHECK AMOUNT: $100.00
a' FISHERS IN 46038
CHECK NUMBER: 186776
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER 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
�GL. C'y Q.rcL�i� Purchase Order No.
r---�-
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
,n� n C�cizr� 0vn
Total
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
ON ACCOUNT OF APPROPRIATION FOR
mid i
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
sc�a39�vi 0 d 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
X
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund