HomeMy WebLinkAbout200392 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $71.14
CARMEL IN 46033 -9501
CHECK NUMBER: 200392
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 49.00 RECORDING FEES
1701 4343004 22.14 TRAVEL PER DIEMS
Hamilton County Recorder
Mary L. Clark
08/U4/2M1 OO:41:4OA Trans 0: 000363407
Business Date: 08/84/2011 Roc By: FDS
2011037237 RIGHT WAY 08-41:40A
Subtotal: $2O.00
2011037238 RIGHT WAY 0801:40A
Subtotal: $29.130
Receipt Total: $49.00
Paid By Amount Ref
Check $49.00 0000004828
CITY OF CARMEL
Rcvd From: CITY OF CARMEL
Have a good day!
NELK :jJbobU DATE 8!l li i i
TART E TIME 12:26PM
Natalie B
AMOUNT
iY 6.79 6.79
5.99 5.99
4,'8
.,;d 0.00
.,use Si l ad 0.00
d(GrillLhz 0.00
SUBTOTAL 17.56
TAX 1 58
TOTAL. n1 IF 19.14
meal
)lus
99!
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
1 I Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
LAI
Total
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.
1 ALLOWED 20
y IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
'1222 bill(s) is (are) true and correct and that the
%U materials or services itemized thereon for
which charge is made were ordered and
received except
20
uo W7
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund