192561 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 360690 Page 1 of 1
ONE CIVIC SQUARE JOHN THOMAS
0 CHECK AMOUNT: $147.97
CARMEL, INDIANA 46032 11576 CREEKSIDE LANE
s,
CARMEL IN 46033 CHECK NUMBER: 192561
CHECK DATE: 12/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4467099 12/1/10 147.97 OTHER EQUIPMENT
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
John Thomas
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/01/10 nla Winterwear for Kurt Anderson (Construction Inspector) $147.97
r
Total y
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
John Tb!Qli IN SUM OF
Engineering Dept.
$147.97
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
r.ra tzwzoio 2200 -4467099 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
tZ�loll /J�J 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund