167503 12/29/2008 f CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
k` ONE CIVIC SQUARE CARSON COOPER
CARMEL, INDIANA 46032 10825 BUNKER HILL DRIVE CHECK AMOUNT: $190.00
1..1 CARMEL, IN 46032
CHECK NUMBER: 167503
CHECK DATE: 12129!2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 '5023990 190.00 REFUND
Pre� by State Board of Accounts
Form NOS3D1 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
To La tr 5v n C'OO
ADDRESS ld FZ'S' -wk' r
Invoice Date Invoice Number Item Amount
/2- 12,3 Lo rJ e r g0. OD
V3l:Z7<AL Dl
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
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., Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANO.
CARMEL, INDIANA
Favor Of
060 r_50 �d v ier^
C a tr'me <.L'K L-A is OJ Z
Total Amount of Voucher
Deductions
Amount of Warrant (11
Month of Yr
Acct.
VOUCHER RECORD 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
Allowed-
Board of Control
Filed
Official Title
BOYCE FORMS SYSrFMS 1 -800- 382 -8702 325