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195022 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365132 Page 1 of 1 ONE CIVIC SQUARE FANT POOL SERVICE CARMEL, INDIANA 46032 1403E 77TH STREET CHECK AMOUNT: $111.67 INDIANAPOLIS IN 46240 CHECK NUMBER: 195022 CHECK DATE: 3/2/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 602 5023990 111.67 REFUND 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 TFANT FANT POOL SERVICE Purchase Order No. 1403 E 77TH ST Terms INDIANAPOLIS, IN 46240 Due Date 1/18/2000 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/18/2000 21111 $111.67 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 104194 WARRANT ALLOWED TFANT IN SUM OF FANT POOL SERVICE 1403 E 77TH ST INDIANAPOLIS, IN 46240 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 21111 05- 2350 -00 $111.67 Voucher Total $1 11.67 Cost distribution ledger classification if claim paid under vehicle highway fund