158756 04/25/2008 CITY OF CARMEL, INDIANA VENDOR: t J 6 (D 6 Page 1 of 1
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CARMEL,-INDIAM 46032 CHECK AMOUNT: 0 cc
o CHECK NUMBER: 158756
CHECK DATE:��'
DEPARTMENT AC PO NUMBE IN VOICE NUMBE AMOU DESCRIPTION
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REMITTANCE ADVICE DETACH AND RETAIN FOR YOUR RECORDS
Hamilton County Recorder
Jennifer J Hoyden
04/25/2008 11:21:34A Trans U: 000108790
Business Dote: 04/25/2808 Rpc By; PSI
2008022213 DAKRETTLAW 11:21:34A
Subtotal; $11.00
2008022214 MISC 11:21:34A
Subtotal: $17.08
Receipt Total; $28.00
Paid By Amount Ref
Check $28.00 0000008756
CITY OF CARMEL
Rcvd From: CITY OF CARMEL
HAVE A NICE DAY!
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.
/1 Payee
C W� Purchase Order No.
Terms
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
r v IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
<D l bill(s) is (are) true and correct and that the
I ]DI v 176b materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature 61
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund