188360 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352767 Page 1 of 1
s ONE CIVIC SQUARE WILLIAM HOHLT CHECK AMOUNT: $29.88
CARMEL, INDIANA 46032 c/o Docs
c/o Docs CHECK NUMBER: 188360
CHECK DATE: 81312010
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239011 29.88 SPECIAL DEPT SUPPLIES
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VOUCHER NO. WARRANT NO. l
William Hohlt ALLOWED 20
IN SUM OF
c/o One Civic Square
Camel, IN 46032
$29.88
I
i
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
I
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT I
Board Members
1192 42- 390.11 $29.88 1 l 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
i
received except
,F riday July 30, 2010
D ctor, DOC
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))
07/29/10 Reimburse Bill for toaster oven $29.88
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