179136 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 027850 Page 1 of 1
ONE CIVIC SQUARE JAMES BRAINARD
CHECK AMOUNT: $20.00
CARMEL, INDIANA 46032
CHECK NUMBER: 179136
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343001 20.00 TRAVEL FEES EXPENSE
Ll
NO CAR RELEASED WITHOUT
n THIS CLAIM CHECK
t� Z*e management assumes no responsibility
for auto accessories or articles left in vehicle.
No liability is assumed by management for
Toss or. 0-ge uy fire, inert, vandalism or
any other cause to, or by th ve�while
in custody of the management.
THANK YOU
03483 PARKAGAIN
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
1119/09 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
M ayor Jim Brainard Purchase Order No.
1 2662 Royce Ct Terms
C armel IN 46033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1115/09 Receipt P arking e ngagement
11/5/09
Total $20.00
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.
11 9/ 9
ALLOWED 20
N',nynr Jim Rrain r.t IN SUM OF
12662 Rnvice C
Carmel IN 46011
?o-nn
ON ACCOUNT OF APPROPRIATION FOR
1160 mayor 4343001
Travel fees expenses
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
ipt- 4343001 $20.00 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
20 0
Sign tyke
1�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund