187856 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 357304 Page 1 of 1
ONE CIVIC SQUARE JAMES HOBB5
s d CHECK AMOUNT: $11.99
CARMEL, INDIANA 46032 111eoE iilrHSrREET
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FISHERS IN 46038 CHECK NUMBER: 187856
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 11.99 REPAIR PARTS
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Change
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Inter, Reference V: 0105320
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Hobbs
IN SUM OF
c/o Carmel Street Department
$11.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO #!De t. INVOICE NO. ACCT /TITLE AMOUNT
Dept. Board Member
2201 42- 370.00 $11.99 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
Thursday, J,t 1y�15, 2010
t' z 0
1 i
r f f J
Street Commissioner
QL c ammjc'wurlor
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))
07/03/10 $11.99
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