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163241 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00351325 Page 1 of 1 ONE CIVIC SQUARE DAVID HUFFMAN Q C/0 STREET DEPARTMENT CHECK AMOUNT: $22.00 CARMEL, INDIANA 46032 C/O STREET DEPARTMEN CHECK NUMBER: 163241 CHECK DATE: 9/3/2008 DEPARTMEN ACCOUNT PO NUMBER INVOICE NUM BER AMOUNT DES CRIPTION 2201 4237000 22.00 REPAIR PARTS i RECEIPT DATE o RECEIVED FROM j l e, 0 m ADDRESS cc o DOLLARS t FOR I ACCOUNT HOW PAID AMT. OF ACCOUNT CASH Z UO AMT. PAID CHECK 1 BALANCE DUE MONEY ORDER BY Z I 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/18/08 $22.00 1 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 Dave Huffman IN SUM OF $22.00 ,ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 42- 370.00 $22.00 1 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 Thursday, August 28, 2008 Street C missioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund