166632 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY
e CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $466.96
w CARMEL IN 46033 -9501 CHECK NUMBER: 166632
aro."
CHECK DATE: 12110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 30.99 PRINTER CORD
1701 4343004 336.96 MILEAGE
1701 4343004 3.00 PARKING
1701 A355100 96.01 PROMOTIONAL FUNDS
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))
�J moo.
Total
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.
nn ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
(>tf-ON N &to
5q e r yam,, Board Members
PO# or INVOICE NO. A CC T AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
-:%(d materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
.......t avuu a. �^.aa acd Fom No.. t01 lisSe
6 ur tyxel/ MiLEAGL CLAIM
OVERNMENTAU UNIT) TO DR-
ON ACCOUNT OF APPROPRIATION NO. FO (OFFICE. BOARD. DEPARTMENT OR INSTITUTION)
ATE FROM TO SPEEDOMETER
READENG+ I i MILES I
D
!MATURE OF BUSINESS 1111 TRAVELED PER MILE
POINT i� NT 1
START �kNkSN
I I
�YL)A 1) 6 Il I PI nnzu Js r�sl Y, q�' 1 '7 11 7 F10 i)
JSc'f
t t I 1 d U Y'
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G i ry o r iclG v)
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5' 0 b 1 P 6 b� n7
I
T f' U f` i jF Iv\- f 1 1
i 1
11 WO
qL?O I 11
4 (9 1 f Iq vi WNW) rer 19 a mil.
V r►� U 1 ri d' n
e
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r n 01 I
m rn
AUTO LICENSE NO. TOTALS
+SPEEDOMETER READING columns are. to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155. Acts 1953, I hereby certify that the foregoing account is just and correct. that the amount claimed is legally due. after allowing.all just cred
and that no art of the same has been paid.
Date
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.
ayee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
JA0 0,t ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
l r✓t D pll� bill(s) is (are) true and correct and that the
b U materials or services itemized thereon for
which charge is made were ordered and
received except
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund