190740 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364782 Page 1 of 1
0 ONE CIVIC SQUARE FABRIC CARE CENTER
CARMEL, INDIANA 46032 5760 WEST MORRIS STREET CHECK AMOUNT: $201.15
INDIANAPOLIS IN 46241 CHECK NUMBER: 190740
CHECK DATE: 1011312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239099 636036 108.00 OTHER MISCELLANOUS
1207 4239099 636037 27.00 OTHER MISCELLANOUS
1207 4239099 636041 48.60 OTHER MISCELLANOUS
1207 4239099 636291 17.55 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fabr"c Care Center
IN SUM OF
5760 West Morris Street
Indianapolis, IN 46241
$201.15
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
1207 636037 42- 390.99 $27.00 1 hereby certify that the attached invoice(s), or
1207 636036 42- 390.99 $108.00 bill(s) is (are) true and correct and that the
1207 636041 42- 390.99 $48.60
materials or services itemized thereon for
1207 636291 42- 390.99 $17.55
which charge is made were ordered and
received except
Monday, October 11, 2010
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/06/10 636037 Linen Cleaning $27.00
10/06/10 636036 Linen Cleaning $108.00
10/06/10 636041 Linen Cleaning $48.60
10/07/10 636291 Linen Cleaning $17.55
1 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