187342 07/07/2010 ±�f CITY OF CARMEL, INDIANA VENDOR: 00352605 Page 1 of 1
0 ONE CIVIC SQUARE INGENIX
CARMEL, INDIANA 46032 PO BOX 27116 CHECK AMOUNT: $135.90
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SALT LAKE CITY UT 84127 CHECK NUMBER: 187342
CHECK DATE: 7/7/2010
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 1715996 135.90 SUBSCRIPTIONS
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VOUCHER NO. WARRANT N
ALLOWED 20
Ingenix
IN SUM OF
.r
P.O. Box 27116
Salt Lake City, UT 84127
$135.9
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1715996 43 552.00 $135.90 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
1 u�
1 `2 2010
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I 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))
1715996 $135.90
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