161964 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 356967 Page 1 of 1
ONE CIVIC SQUARE MR MRS VINCENT BRYANT
i CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 595 HAWiHORNE DRIVE
CARMEL IN 46W3 CHECK NUMBER: 161964
CHECK DATE: 7/23/2008
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1 q1 5023990 100.00 OTHER EXPENSES
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 hours, rate per hour, number of units, price per unit, etc.
Payee
r
r• rs 1�i wee h 4 e Purchase Order No.
Terms
Z tiI 4 63
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7- —d -l� -U S LcJe- c�.�.'n ,5c�r- u •�r ah
Total e__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
/fit• I'Y]rs Y i n�e�
1 n IN SUM OF
r r► t ZA/ 3 3
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�v 3 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund