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190487 09/29/2010
CITY OF CARMEL, INDIANA VENDOR: 00351248 Page 1 of 1 ONE CIVIC SQUARE JEFF STEWART CARMEL, INDIANA 46032 C/O STREET DEPT CHECK AMOUNT: $8.00 C/O STREET DEPT CHECK NUMBER: 190487 CHECK DATE: 9129/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 8.00 REPAIR PARTS y S�� 377�� CUSTOMER'S ORDER NO. DEPT. DATE: NAME: 'e �e ADDRESS: CITY, STATE, ZIP J SOLD BY: CASH C.O.D. CHARGE ON ACCT. I MDSERTD. P QUANTITY DESCRIPTION PRICE AMOUNT (p 1 I '7, 7 V'J 2 3 4 5 6 7 B 9 10 11 12 13 14 15 RECEIVED BY: ORIGINAL ©2001 R FDIFORM 51-320 o-r; c- 372741 1l1( s` 7� 3 /'car k lQ c� West f e-1 1/7 317- S�� -3�s5 CUSTOMER'S ORDER NO. DEPT. DATE: NAME: f ADDRESS: V G T CITY, STATE, ZIP 60 SOLD BY: CASH C.O.D. CHARGE ON ACCT. M J PAIDOUT j QUANTITY DESCRIPTION PRICE AMOUNT 2 .J 3 4 5 6 7 8 9 10 11 12 13 14 Fil 15 RECEIVED BY: V r y ORIGINAL ©2001 R MF)RM 51-320 V NO. WARRANT NO. ALLOWED 20 Jeff Stewart IN SUM OF c/o Carmel Street Department $8.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member: 2201 42- 370.00 $8.00 1 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 r. L 1 tursdadweptember 232010 tJj'e.�d/ i �l1 v 1 e S ,t e reet C LOm rnissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 09/21/10 $8.00 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