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161162 06/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361478 Page 1 of 1 0 ONE CIVIC SQUARE ROBERT CUMMENS CHECK AMOUNT: $2,304.96 CARMEL, INDIANA 46032 10545 POWER DRIVE CARMEL IN 46033 CHECK NUMBER: 161162 CHECK DATE: 6/30/2008 DEPARTMENT ACCOUNT PO N UMBER INVO NUM BER AM OUNT DESCR IPTION 601 5023990 2,304.96 REFUND Prescribed by State Soard of Accounts •Form No. 301(Rev.1995) ACCO PAYABL VOUCHER ,r Invoice Date Invoice Nurr. Amount S I 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. JIM Z, 7/ Mo. Day Yr. '96icer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA oe Favor Of a b r' Lt 117 s Total Amount of Voucher Deductions Amount of Warrant;?�Q� Month of Yr VOUCHER RECORD Acct. No. Source of Suppl Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation-Maintenance Unlit' Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total i Allowed Board of Control Filed Official Title BOYCE FORMS SYSTEMS 7 -800- 382 -8702 325