158190 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: T361061 Page 1 of 1
ONE CIVIC SQUARE CHRIS BLOCK
CARMEL, INDIANA 46032 1120 E PLEASANT ST CHECK AMOUNT: $9.65
MILWAUKEE WI 53202 CHECK NUMBER: 158190
CHECK DATE: 41112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0602274301 9.65 OTHER EXPENSES
Voucher 081249 Warrant ALLOWED
OP3093
CHRIS BLOCK In SUM OF
1120 E PLEASANT ST
MILWAUKEE, WI 53202
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INV# ACCT# AMOUNT Audit Trail Code
0602274301 01- 4611 -00 $9.65 RECVG00002958
Voucher Total $9.65
Cost Distribution ledger clasification 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 units,
price per unit, etc.
Payee
OP3093
CHRIS BLOCK Purchase Order No.
1120 E PLEASANT ST Terms
MILWAUKEE, WI 53202
Due Date 3;27/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/27/2008 0602274301 $9.65
Blank
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 Y/9//V//
Date Officer