HomeMy WebLinkAbout164275 09/30/2008 a- CITY OF CARMEL, INDIANA VENDOR: T361931 Page 1 of 1
0 ONE CIVIC SQUARE HOLLY HODGES CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 509 PETERSBURG W 49254 PKWY
CHECK NUMBER: 164275
CHECK DATE: 9/30/2008
DEPARTMENT AC PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
I
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
ki o Purchase Order No.
f Terms
j1 t c+_n«
S `�2 V Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
LJ 19- z e
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
m 5 d Jl V IN SUM OF
P, j-e,- s 6 u rJ Pkit y
0`
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
z 994) &o 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund