HomeMy WebLinkAbout199253 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365441 Page 1 of 1
ONE CIVIC SQUARE TERESA HOLLIMANN
CHECK AMOUNT: $18.47
CARMEL INDIANA 46032
�•e 2419 NW 32ND STREET
v BOCA RATON FL 33431 CHECK NUMBER: 199253
CHECK DATE: 7/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 18.47 0781711909 REFUND
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 units,
price per unit, etc.
Payee
OP6930
TERESA HOLLIMANN Purchase Order No.
2419 NW 32ND ST
BOCA RATON, FL 33431 Terms
Due Date 6/23/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/23/2011 0781711909 $18.47
Blank
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.
Date Officer
Voucher 111583 Warrant t ALLOWED
OP6930
TERESA HOLLIMANN In SUM OF
2419 NW 32ND ST
BOCA RATON, FL 33431
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INV# ACCT# AMOUNT Audit Trail Code
0781711909 01- 4611 -00 $18.47 RECVG00003831
Voucher Total $18.47
Cost Distribution ledger clasification if
claim paid motor vehicle highway fund