164608 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 360848 Page 1 of 1
0 ONE CIVIC SQUARE BLUE EGG GALLERY CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 430 N RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 164608
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4239099 1143 200.00 OTHER MISCELLANOUS
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430 N. Rangeline Road
CARMEL, INDIANA 46032.'
(317) 536 -41696
CUSTOMER'S ORDER NO. PHONE DATE
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SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RETD. PAID OUT
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QTY. DESCRIPTION PRICE AMOUNT
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TAX
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ALL SALES FINAL
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°res gibed 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.
r Payee
/1 Purchase Order No.
y30 R.... Terms
/N 4 (0d 3Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
to v8 I (h A £DA G,,,J zoo 00
Total 2 vo °e
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
I I ye C lap
IN SUM OF
1 A 46o 3z
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ON ACCOUNT OF APPROPRIATION FOR
Q I�Z� Y 2Jf os
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
C/ 3 gz3foff Zoo. 2 O 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
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Signat re
A /oc O'} F*^A .eR
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund