192539 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364912 Page 1 of 1
ONE CIVIC SQUARE PETRY EXCAVATION
CARMEL, INDIANA 46032 5784 N 600E CHECK AMOUNT: $200.00
GREENFIELD IN 46140 CHECK NUMBER: 192539
CHECK DATE: 12/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 12210 200.00 OTHER EXPENSES
VOUCHER 103488 WARRANT ALLOWED
TPETRY IN SUM OF
PETRY EXCAVATION
5784 N 600 E 0P EZT%V S
GREENFIELD, IN 46140
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
12210 05- 2350 -00 $200.00
Voucher Total $200.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
TPETRY
PETRY EXCAVATION Purchase Order No.
5784 N 600 E Terms
GREENFIELD, IN 46140 Due Date 1212/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/2/2010 12210 $200.00
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
,L r3 Cl-.-R (A-_ AA__
Date Officer