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HomeMy WebLinkAbout198667 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365419 Page 1 of 1 ONE CIVIC SQUARE BRIAN MOON CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 9327 E 106TH ST o� FISHERS IN 46037 CHECK NUMBER: 198657 CHECK DATE: 6/2212011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 100.00 GAZEBO REFUND Prescribed 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. Payee '61' j Cc- n S /J� c�o M Purchase Order No. g0 a 7 D(o c, S+ Terms 5 h e, rs S� y 3 7 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 l� VOUCHER NO. WARRANT NO. ALLOWED 20 I Moon X IN SUM OF F; sti A/ 4 16637 0 ON ACCOUNT OF APPROPRIATION FOR i2 u K G(� Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), 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 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund