191310 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 358229 Page 1 of 1
ONE CIVIC SQUARE NICOLE PASSINEAU
CARMEL, INDIANA 46032 C/O DOCs CHECK AMOUNT: $80.74
CHECK NUMBER: 191310
CHECK DATE: 10127/2010
DEPARTMENT ACCOUNT PO NUMBER INVOI NU AMO DESCRIPTION
1192 4356001 80.74 UNIFORMS
V FTHACTOR
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2375 EAST PLEASANT ST., HT. 37
WO8ELSVILLE, IN 16060
317-776-1883
T/cke/. 66740
Date: 70/|i/l0 Time: 5:26 PM
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VOUCt,,dER NO. WARRANT N
Nichole Passineau ALLOWED 20
I IN SUM OF
c/o One Civic Square
Carmel, IN 46032
I
$80.74
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1192 43 -560,01 $80.74 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
r'
Which charge is made were ordered and
received except
i
Friday, October 22, 2010
irector OCs
Title
L;
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 r
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))
10/14/10 Boots Nichole Passineau $80.74
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
1 20
Clerk- Treasurer