155480 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354229 Page 1 of 1
ONE CIVIC SQUARE R M D /PATTI
CHECK AMOUNT: $938.00
CARMEL INDIANA 46032
Po eox »s�
«o RICHMOND IN 47375 CHECK NUMBER: 155480
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1.701 4347500 388336 938.00 GENERAL INSURANCE
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Client: Diana Cordray (B)
DESCRIPTION
Policy #101002416 01/01/2008- 01/01/2009
Travelers Property Casualty
388336 01/01/2008, Renew policy Public Official Bond $300,000 938.00
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PLEASE PAY WITHIN.20 DAYS OF INVOICE DATE OR CALL IMMEDIATELY IF INVOICE IS 938.00
INCORRECT.
Thank You
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(317)845 -1547 12/27/2007
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
64 Purchase Order No.
4?,
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ja a 3� 33� S, 6v
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor dance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
G IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
/O
Board Members
of or INVOICE NO. ACCT#/TITLE AMOUNT
E TT. I hereby certify that the attached invoice(s), or
260 Z17S bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20 0
Ao
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund