HomeMy WebLinkAbout190218 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364764 Page 1 of 1
ONE CIVIC SQUARE SOMER JONES CARPENTER
1 0� CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 8410 SANSA STREET
CAMBY IN 46113 CHECK NUMBER: 190218
CHECK DATE: 9129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
Prescribed by Stale 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
50/11 e r J o vi e e_#.j I-e-r Purchase Order No.
y 4/0 S S 'Z_ S tt f r C_ Terms
-ZA T�o Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
g- z7- ,v��_: n vs -i l
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
?4110
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoices) Or
p /ao 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
Af AA
t
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund