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CITY OF CARMEL, INDIANA VENDOR: 358829 Page 1 of 1
ONE CIVIC SQUARE PAUL BLOCKOMS
CARMEL, INDIANA 46032 7033 SEA OATS LANE CHECK AMOUNT: $3,541.66
INDIANAPOLIS IN 46250 CHECK NUMBER: 157800
CHECK DATE: 3/27/2008
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
"905 4350900 3,541.66 SALARY
i
Proscribed 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.
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Payee
Pau N oc ko V'S Purchase Order No.
F�Irodt< re Cooc.� C� -1
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03 -21 GdLG qoV FJAd A idol 03 -l 3541.66
44AVVIt 03-3 MMj vsi64V4 J7 a w C90
c,� l-Vk -ewt (ati1.
Total 36'4
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.
f
ALLOWED 20
U ioG(�a5 IN SUM OF
roo ICS
i re 6ocf7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or
DEPT. INVOICE NO. ACCT /TIT AMOUNT I hereby certify that the attached invoice(s), or
r L S X30 351 ,66 bill(§) is (are) true and correct and that the
materials or services itemized thereon for
-which charge is made were ordered and
received except
.20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund