HomeMy WebLinkAbout188985 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364561 Page 1 of 1
ONE CIVIC SQUARE BRUNO SANTANA
s 0 CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 1391 BEARSDEN DRIVE
AVON IN 46123 CHECK NUMBER: 188985
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
l
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
21-1 y 6 `4 f� Purchase Order No.
13 9 n 4 t C_ Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
/q uo A `�G /2-
ON ACCOUNT OF APPROPRIATION FOR
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
,s 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund