188300 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362651 Page 1 of 1
0 ONE CIVIC SQUARE DE LAGE LANDEN
CARMEL, INDIANA 46032 Po BOX 41602 CHECK AMOUNT: $88.00
PHILADELPHIA PA 19101 -1602
CHECK NUMBER: 188300
CHECK DATE: 813!2010
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1160 4353004 6673943 88.00 COPIER
Keep lower portion for your records Please return upper portion with your payment
Invoice Date e a Q Invoice Number a y Account
DE LADE LANDEN
07/24/2010 6673943 073898
PO BOX 41602 g y
6 s !o a A "s
PlIrl-ADELPH]A, PA 19101 -1602
Period of Performance Contract'Number
0711512010- 08/14/2010 24954963
Important Messages
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If this is your first invoice, it may in interim rent or prior period rentals in the payment amount.
See Reverse for Important Information
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WAccount,5tatemenf� M "J
Invoice "Number Date;z ;Arnountxlnuoiced ..Balance Due
6320320 0711512010 $88.00 $88.00
=Balarce�Due far;Prior Billed {Invoices
0
VOUCHER NO. WARRANT NO.
ALLOWED 20
De 1. -age Landen
IN SUM OF
P. O. Box 41602
Philadelphia, PA 19101 -1602
$8
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1160 6673943 43- 530.04 $88.00 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, July 30, 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))
07/24/10 6673943 $88.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer