HomeMy WebLinkAbout166510 12/05/2008 CITY OF CARMEL, INDIANA VENDOR: 362223 Page 1 of 1
ONE CIVIC SQUARE PHILLIP MISNER
CARMEL, INDIANA 46032 CHECK AMOUNT: $400.00
5667 BLACKFOOD TRAIL
CARMEL IN 46033 CHECK NUMBER: 166510
CHECK DATE: 12/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 400.00 REFUND
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Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE V
TOL
ADDRESS
Invoi D Invoice Number Item Amount
z 0 Ver 10D.00
d
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
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itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. f' e Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT
NO.
CARMEL, INDIANA
���11� p,sn�f ice/
Total Amount of Voucher
Deductions
i
Amount of Warrant 0
Month of Yr
VOUCHER RECORD Acct. y
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total Qa
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800 382 -8702 325