HomeMy WebLinkAbout200015 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 00350692 Page 1 of 1
ONE CIVIC SQUARE RANDY MASSINGILL CHECK AMOUNT: $130.00
CARMEL, INDIANA 46032 1301STAVE SW
CARMEL IN 46032 CHECK NUMBER: 200015
CHECK DATE: 813/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 080211 130.00 OTHER EXPENSES
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NOTES
DATE NO: 020609
RECEIVED FRO 4 0o'. 6 n. J n J
ADDRESS
ACCOUNT HOW PAID
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ACCOUNT CASH
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B�MII State Form 51717 (4 -04)
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Branch: CARMEL STARS (527) Date: 7126111 Time: 2:40:38 pm EDT
Visit ID: 168241098 Your Visit Time Today:
Visit Customer: RANDY L MASSINGILL
Wait Time 00:43:56
Transaction Time 00:21:41
Total time 01:05:37
Hrs.Min.Sec
Transactions
Trans ID Trans Type Trans Subtype Amount
194867680 Driver Renew CDL License Renew $30.00
Subtotal: $30.00
Sales /Use Tax: $0.00
Total: $30.00
Payment Method Amount DL Number Authorization Number Name
CASH $30.00
Total Due: $30.00
Amount Paid: $30.00
Change Due: $0.00
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5 1 7 1 7 1 9 4 8 6 7 6 8 0
VOUCHER 115574 WARRANT ALLOWED
350692 IN SUM OF
RANDY MASSINGILL
Carmel Wastewater
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
080211 01- 7040 -01 $130.00
Voucher Total $130.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350692
RANDY MASSINGILL Purchase Order No.
Carmet Wastewater Terms
CARMEL, IN 46032 Due Date 7/26/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/26/2011 080211 $130.00
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
7 6 'p l 4 �rY� CYL
Date Officer