HomeMy WebLinkAbout200064 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COBS
CHECK AMOUNT: $118.60
CARMEL, INDIANA 46032 CIO PAM LISTER
CHECK NUMBER: 200064
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 118.60 EQUIPMENT REPAIRS M
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))
;A
Total ld; 6
1 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.
Zt ALLOWED 20
IN SUM OF
11f l
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
P SWe bill(s) is (are) true and correct and that the
1p!�' materials or services itemized thereon for
which charge is made were ordered and
received except
20
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nature
(a Wl
Cost distribution ledger classification if
tle
claim paid motor vehicle highway fund