164853 10/16/2008 F CITY OF CARMEL, INDIANA VENDOR: 356305 Page 1 of 1
ONE CIVIC SQUARE DARRELL D NORRIS
0 �r CHECK AMOUNT: $5.00
CARMEL, INDIANA 46032 101 2ND AVE SW, #2C
_off i�? CARMEL IN 46032 CHECK NUMBER: 164853
CHECK DATE: 10/16/2008
DEPARTMEN ACCO PO NUMBER INVO NUMBER AMOUNT DESCRIPTIO
.1160 4355100 5.00 PROMOTIONAL FUNDS
i
I
Date:
Carmel
Chamber
Smge!ar rotes. Shared Success t1 r e
Received of V I i Amount: 5.00
For: Tailgate After Hours
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
10/13/08 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
Darrell Norris Purchase Order No.
One Civic Square Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/2/08 Receipt Chamber of Commerce "Tailgate after Hours" $5.00
Total $5.00
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
Darrell Norris IN SUM OF
One Civic Square
Carmel IN 46032
5.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors 4355100
Promotional Funds
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Receipt 4355100 $5.00 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
S'gnatu e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund