159197 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361216 Page 1 of 1
is 0 ONE CIVIC SQUARE THE ALS ASSOCIATION OF INDIANA CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 MS SARAH PAYTON
6525 E 82ND STREET SUITE 115 CHECK NUMBER: 159197
INDIANAPOLIS IN 46250
CHECK DATE: 5/14/2008
D EPARTMENT ACCOUNT PO NU MBER INVOICE N UMBER AMO UNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
/1 Payee r
r� e.
�5 A c� y� Purchase Order Igo.
(p Sots
�Z S S f e., S Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
.a "3�o�'
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
r'
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
F w
e f}LS ALLOWED 20
IN SUM OF$
z
ON ACCOUNT OF APPROPRIATION FOR
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R e. FU il
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
D 5023996 0 1 b-0 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
Je
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund