161825 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 355466 Page 1 of 1
ONE CIVIC SQUARE KEITH FREER CHECK AMOUNT: $49.83
CARMEL, INDIANA 46032 1413 N. FAIRVIEW STREET
ALEXANDRIA IN 46001 CHECK NUMBER: 161825
CHECK DATE: 712312008
DEPARTMENT ACC PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
x.51 5023990 49.83 OTHER EXPENSES
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Are 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))
p -o
c
Total yo.
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
a
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. 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
X20 c�
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund