HomeMy WebLinkAbout186906 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364292 Page 1 of 1
ONE CIVIC SQUARE DAN KELLY
CHECK AMOUNT: $100.00
147 HARROWGATE
CARMEL, INDIANA 46032
CARMEL IN 46033 CHECK NUMBER: 186906
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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
Purchase Order No.
Terms
4f0- r- m e!_ l r'J q6,633 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4- icy I e go-z.e-
0
Total
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.
nn ALLOWED 20
IN SUM OF
r r
ON ACCOUNT OF APPROPRIATION FOR
C-;EAJ
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
jj)�.�o P.
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund