HomeMy WebLinkAbout160546 06/10/2008 I
CITY OF CARMEL, INDIANA VENDOR: 361407 Page 1 of 1
ONE CIVIC SQUARE JILL MEDLEN RAWLINGS
CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 5723 CASTOR WAY
NOBLESVILLE IN 46062 CHECK NUMBER: 160546
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 REFUND
I
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
7z .3 s i pr LOa- i Purchase Order No.
so r l =AI `��v Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached 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.
ALLOWED 20
Ms. T IN SUM OF
7 2- r
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9c:v A /d•1 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
�gnatur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund