HomeMy WebLinkAbout189734 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364684 Page 1 of 1
ONE CIVIC SQUARE JONI CLARKE
i CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 7536 PERRIER DRIVE
•y oN INDIANAPOLIS IN 46278 CHECK NUMBER: 189734
CHECK DATE: 9114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO DEPOSIT
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 snow: 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
'_j O YN r a- r k e. Purchase Order No.
7 53 ice, Pe rr e r �)r y ,.rl- Terms
S .2- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
ALLOWED 20
IN SUM OF
x-14 4 6 2- 7
ON ACCOUNT OF APPRO f P ATION 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
0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund