166660 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 086700 Page 1 of 1
ONE CIVIC SQUARE HAL ESPEY CHECK AMOUNT: $500.00
ro CARMEL, INDIANA 46032 12030 CASTLE ROW OVERLOOK
CARMEL IN 46033 CHECK NUMBER: 166660
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
1192 4341999 500.00 OTHER PROFESSIONAL FE
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
L S 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
�S F IN SUM OF
b4
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9�
41 S� 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
Fl 20 O
Signat re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund