165331 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T360401 Page 1 of 1
ONE CIVIC SQUARE DONNA MEACHAM CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 1604 DORCHESTER PLACE
CARMEL IN 46033 CHECK NUMBER: 165331
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1
101 5023990 100.00 GAZEBO REFUND
i
3
3
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
�L )D y, A e- a_ L Purchase Order No.
h C_
o Z4 "o i2rf h e 4 Terms
e_f Z'// 4&03 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
e 6a -7-e-bo vse 1
Total J
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
IN SUM OF
/-5704 Pl.
ON ACCOUNT OF APPROPRIATION FOR
E Al j H t-- P2 L F(-) AJD
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
ho� .SD, 3 996 4 1e-f) 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund