HomeMy WebLinkAbout199643 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365499 Page 1 of 1
ONE CIVIC SQUARE KATHERINE PRITCHARD
CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 12732 BRONCOS DRIVE
FISHERS IN 46037 CHECK NUMBER: 199643
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1895)
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 f t
i n l�ri �c�ncf. r- eL Purchase Order No.
b r~oj)c'ds Terms
fi�S1,-e-r -5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total :0
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
nn IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
6.0 -z
Board Members
POD or INVOICE NO. ACCT /TITLE AMOUNT
C]EPT. 1 hereby certify that the attached invoice(s), or
8i SOZ3 990 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
a
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund