HomeMy WebLinkAbout199254 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365345 Page 1 of 1
ONE CIVIC SQUARE LINDSEY LEWIS
?o CARMEL, INDIANA 46032 10247 N PARK AVE CHECK AMOUNT: $124.46
INDIANAPOLIS IN 46280 CHECK NUMBER: 199254
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 124.46 1895048004 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
OP6931
LINDSEY LEWIS Purchase Order No.
10247 N PARK AVE
INDIANAPOLIS, IN 46280 Terms
Due Date 6/23/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/23/2011 1895048004 $124.46
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 111584 Warrant ALLOWED
OP6931 In SUM OF
LINDSEY LEWIS
10247 N PARK AVE
INDIANAPOLIS, IN 46280
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INV# ACCT# AMOUNT Audit Trail Code
1895048004 01- 4611 -00 $124.46 RECVG00003831
1
Voucher Total $124.46
Cost Distribution ledger clasification if
claim paid motor vehicle highway fund