164367 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361930 Page 1 of 1
ONE CIVIC SQUARE RICHARD OSBORN CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 807 W ADMAN DRIVE
CARMEL IN 45032
CHECK NUMBER: 164367
CHECK DATE: 9130/2008
,DEP ARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4343004 75.00 TRAVEL PER DIEMS
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
S. v
.J
2 Sr
Total �s
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.
ALLOWED 20
IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
C 2�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
�2 9 200
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Cost distribution ledger classification if Titlel�
claim paid motor vehicle highway fund