165199 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362042 Page 1 of 1
0 ONE CIVIC SQUARE SHARON DISKO CHECK AMOUNT: $134.00
.;o CARMEL, INDIANA 46032 14276 CAMDEN LANE
o WESTFIELD IN 46074 CHECK NUMBER: 165199
CHECK DATE: 10/29/2008
:DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 190844 134.00 REFUNDS AWARDS INDE
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No.
Disko, Sharon Terms
14276 Camden Lane Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9130108 190844 Refund 134.00
Total 134.00
I hereby certify that the attached invoice(s), or biN(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.
Disko, Sharon Allowed 20
14276 Camden Lane
Westfield, IN 46074
In Sum of
134.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 190844 4358400 134.00 s hereby certify that the attached invoices), or
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
14 -Oct 2008
Signature
134.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund