HomeMy WebLinkAbout167350 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 354772 Page '1 of 1
ONE CIVIC SQUARE JAMES R HSA�WKIPNLS CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 E
CARMEL �N 46033 CHECK NUMBER: 167350
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 150.00 TRAVEL PER DIEMS
r,
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
�f Purchase Order No.
Terms
r Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
sa
�w
7-o
Total Q
I hereby certify that the attached invoice(s), or bill(s), is (are) true and c ect and I v audited me in accordance
with IC 5- 11- 10 -1.6.
20
erk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
l 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
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
2
Y S
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund