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HomeMy WebLinkAbout193674 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 365033 Page 1 of 1 ONE CIVIC SQUARE JIM BURNS CHECK AMOUNT: $80.00 z CARMEL, INDIANA 46032 747 S MEADOW SONG COURT NEW PALESTINE IN 46163 CHECK NUMBER: 193674 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION 651 5023990 287247 80.00 CONT SVS- OTHER -S PLAN f CUST OMER'S ORDER NO A DDRESS CITY, STATE, ZIR-- DESCRIPTION I e. ©ME L� mS2i 031Lml -MINE 1 A rai s i� I v' ME F p 0� n F c E iMllME 0ME IW1 %Iwro illi�''' a fii uu ONE mIMM I MINE IMMUNE t41 .,d� ��1 'tip 7E;� 1 i� tt 1� fv �f i i VOUCHER 106869 WARRANT ALLOWED T2690 IN SUM OF BURNS, JIM 747 S. Meadow Song Ct New Palestine, IN 46163 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 287247 01- 7362 -06 $80.00 i Voucher Total $80.00 Cost distribution ledger classification if claim paid under vehicle highway fund 2� (C� 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 T2690 BURNS, JIM Purchase Order No. 747 S. Meadow Song Ct Terms New Palestine, IN 46163 Due Date 12/29/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/29/201( 287247 $80.00 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 Date Officer