199943 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 365466 Page 1 of 1
F ONE CIVIC SQUARE JASON P GORDON
CARMEL, INDIANA 46032 16102 SPRING MILL ROAD CHECK AMOUNT: $295.00
WESTFIELD IN 46074 CHECK NUMBER: 199943
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 1016 100.00 OTHER CONT SERVICES
1192 4350900 1017 195.00 OTHER CONT SERVICES
Jason Gordon INVOICE
16102 Spring Mill Road Invoice Number: 1016
Westfield, IN 46074
317 731 -8573 Invoice Date: 07/18/11
Customer Information: City of Carmel
Order Information:
Case Product Description Amount Each Amount
CE11060039 14377 Howe Dr— debris pickup —July 16 100 100
Subtotal: 100
Tax:
Snipping:
Grand Total: 900
Notes:
G 89
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Jason Gordon I
Q�VED 16102 Spring Mill Road Invoice Number: 1017
29 2011 7 Westfield, IN 46074
DOS$ 317- 731 -8573 Invoice Date: 07/28/11
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Customer Information: City of Carmel n
Order Information:
Case
Product Description Amount Each Amount
CE11060101 13269 Mink Lane —mowed 07/19/11 $120.00 $120.00
13269 Mink Lane sprayed thistle 07/20/11 $75.00 $75.00
Subtotal: $195.00
Tax:
Ship ra
Grand Total: $195.00
N #es:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jason Gordon
IN SUM OF
16102 Spring Mill Road
Westfield, IN 46074
$29 5.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE N0. ACCT /TITLE AMOUNT
Board Members
1192 1016 43- 509.00 $100.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1192 1017 43- 509.00 $195.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, July 29, 2011
rec
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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))
07/18111 1016 14377 Howe Dr. Debris pick up $100.00
07/28/11 1017 13269 Mink Lane, mowed, spray thistle $195.00
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