155448 01/10/2008 a CITY OF CARMEL, INDIANA VENDOR: 360673 Page 1 of 1
ONE CIVIC SQUARE OLD NATIONAL INSURANCE CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 PO BOX 80159
INDIANAPOLIS IN 46280 -0159 CHECK NUMBER: 155448
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4347500 365139 100.00 GENERAL INSURANCE
1301 4347500 365140 100.00 GENERAL INSURANCE
Make checks payable to: Old National Insurance
Effective Date Policy Period Coverage Description Transaction Amount'
01 01/01/08 Fid Dep Co of Maryland
to Policy No. 30452246
01/01/09 Renewal Miscellaneous Bond 100.00
i ��mbc• l Ck e
Invoice Number: 365139 Amount Due: 100.00
.Q�
*Premiums Due and Payable on Effective Date
IJEAR Page: 1 ORIGINAL INVOICE
Make checks payable to: Old National Insurance
Effective Date Policy Period C o v e r a g e D e s c r i p t i o n Transaction Amount
01/01/08 01/01/08 Fid Dep Co of Maryland
to Policy No. 08773470
01/01/09 Renewal Miscellaneous Bond 100.00
Paul A. Felix
Invoice Number: 365140 Amount Due: 100.00
*Premiums Due and Payable on Effective Date
IJEAR Page: 1 ORIGINAL INVOICE
Prescribed by Stale 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
ZMC Purchase Order No.
0. l-, c1�0/ 5 y Terms
/S Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
P a o2 3(,5/39 d /do -oo
3�siy wo -vo
Total
1 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.
r
s ALLOWED 20
IN SUM OF
y�0 9
015g
-do 0.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
J,3d 365 I 7-� (7� �c7 bill(s) is (are) true and correct and that the
30 3bQS O 1 00 .o v materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign ture
Cost distribution ledger classification if Tit
claim paid motor vehicle highway fund