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193888 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 241253 Page 1 of 1 s ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $75.55 CARMEL, INDIANA 46032 C/O DDCS a C/O DOGS CHECK NUMBER: 193888 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343001 123110 34.50 TRAVEL FEES EXPENSE 1192 4351100 123110 8.00 CAR CLEANING 1192 4355100 123110 33.05 PROMOTIONAL FUNDS VOUCHER NO. WARRA NO. ALLOWED 20 Petty Cash DOCS IN SUM OF One Civic Square Carmel, IN 46032 J9 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1192 43- 511.00 V $8.00 1 hereby certify that the attached invoice(s), or 1192 43- 430.01 $8.00 bill(s) is (are) true and correct and that the 1192 43- 551.00 $21.07 materials or services itemized thereon for 1192 43- 430.01 6 1192 43- 430.01 $15.00 which charge is made were ordered and 1192 43- 430.01 $10.00 received except 1192 43- 551.00 8 Friday, January 14, 2011 Dire r, DOCS Title 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 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)) 09/10/10 Car Wash $8.00 09/13/10 David Parking $8.00 09/18/10 Safety Day Candy $21.07 09/28/10 David parking $1.50 10/01/10 IN -APA Parking David $15.00 11118/10 ULI Trends Mike Parking $10.00 12/14/10 Leo Dierckman goodby $12.82 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