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191820 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364870 Page 1 of 1 ONE CIVIC SQUARE JENNIFER RITMAN CHECK AMOUNT: $100.00 o ;o. CARMEL, INDIANA 46032 isiso CHERRY TREE Roafl NOBLESVILLE IN 46060 CHECK NUMBER: 191820 CHECK DATE: 11110/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 100.00 REFUND �3 STARFinancial Bank 1! i t "y� t24100'LO Jerlrl Ifer 8 1 7 111 1 11 STAR Link Bal Payment Service 71 61 s? r, 1;8160 "herry; Tree Road STAR 749 Noblesville IN 46060' Credit to Account 2281 PAS' One Hundred and 001100 Dollars PAY TO' -THE ORDER OF: DATE AMOUNT 10000 09/0inoio BAM OUTDOOR PO ,BOX 2132. Authorized by our customer NOBCES.VILLE:IN 46Q61 -21 2 Jennifer Ritman 11 2 4 100 2011■ 1:0 7 4 90 16 7 21: 1 2 3 7 10 111" w I i ..�.,..e.....o.�. �s �`i i r z PAYMENT COUPON CREDIT TO ACCOUNT: 2.281 AMOUNT Jennifer Ritman 16160 Cherry Tree Road Noblesville, IN 46060 Prescribed by State Board of Accounts Form No. 301 (Rev- 1995) ACCOUNTS PAYAB E VOUC TO ADDRESS C 0AD �sv 1L�S Invoice Date Invoice Number Item Amount 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 exce -U S g Na Title 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. 19 Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ANOCT. CARMEL, INDIANA _.F vor Of `C I Lao 1 Total Amount of Voucher Deductions YLP l d Amount of Warrant L bc) Month of Acct VOUCHER RECORD N Source of Suppl Water Treatment �i Transmission and Dist. Customer Accounts t' Administrative and General Operation-Maintenance l Utility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title ROYCE FORMS SYSTEMS 7- 800- 382 -8702 325