189357 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 119898 Page 1 of 1
h `l. ONE CIVIC SQUARE HAMILTON COUNTY RECORDER CHECK AMOUNT: $12.00
�o CARMEL, INDIANA 46032 HAMILTON COUNTY COURTHOUSE
NOBLESVILLE IN 46060
CHECK NUMBER: 189357
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4340600 3 12.00 RECORDING FEES
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 AC& Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
co
Total
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.
ALLWED 20
00C"14 2p Co- J IN SUM OF
c3 ��rm ��i
1a.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
a CC)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
0
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund