189310 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 075011 Page 1 of 1
ONE CIVIC SQUARE DIXON PHONE PLACE
CARMEL, INDIANA 46032 5335 N TACOMA AVE SUITE 3 CHECK AMOUNT: $10.00
INDIANAPOLIS IN 46220
oa CHECK NUMBER: 189310
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 44521 10.00 OTHER MISCELLANOUS
DIXON PHONE PLACE I nvo i ce
5335 N. TACOMA AVENUE, SUITE 3
22 INDIANAPOLIS, IN 46220
(317) 251.3504
8/27/2010 44521
City of Carmel City of Carmel
Attn: Clerk Treasurer Attn: Clerk Treasurer
1 Civic Hall, 3rd Floor 1 Civic Hall, 3rd Floor
Carmel, IN 46032 Carmel, IN 46032
3
27000 Net 30 SF 8127/2010 our truck
DESCRIPTION
1 PS Power Supply for CS50 headset 10.00 10.00
j For .lean Belcher
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Dixon Phone Place holds a security interest in
TOTAL $10.00
this property until_ paid for.
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))
Total
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
f,�j
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT4/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
5, l 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund