HomeMy WebLinkAbout193860 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 360469 Page 1 of 1
ONE CIVIC SQUARE CONNIE MURPHY
0 CHECK AMOUNT: $9.00
CARMEL, INDIANA 46032 9 HENSEL CT
CARMEL IN 46033 CHECK NUMBER: 193860
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 9.00 OTHER MISCELLANOUS
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MANAGER LINDSEY MACLEAN
317 844 0096
ST4 1601 OP# 00003476 TES 20 TR# 03839
UNIV HUM FIL 002704570701 9.00 X
SUBTOTAL 9.00
TAX 1 7.000 0.63
TOTAL 9.63
0, 6y J TEND 9.63
ACCOUNT
APPROVAL 577357
CHANGE'. DUE 0.00
ITEMS SOLD 1
`TIIC# 7 6269 8246 6283 8673
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01/14/11 07:40:33
*CUSTOMER COPY
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total
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
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IN SUM OF
C�
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. 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 except
4
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund