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CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL IN 46032
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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
r Purchase Order No.
-2- Terms
L
L W �(J'JI Date Due
Invoice Invoice Description Amount
Date Number (or note attache invoice(s) or bill(s))
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.
h RR bFG
ALLOWED 20
Fn,)
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
20
I nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund