167359 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 362316 Page 1 of 1
ONE CIVIC SQUARE IMPERIAL POOL SPA CHECK AMOUNT: $23.59
CARMEL, INDIANA 46032 7399 N SHADELAND AVE
t,So`h ion INDIANAPOLIS IN 46250 CHECK NUMBER: 167359
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
602 5023990 23.59 REFUND
VOUCHER 083969 WARRANT ALLOWED
HDRIPS IN SUM OF
IMPERIAL POOL SPA 11//
7399 N SHADELAND AVE ®Kaf\ a
INDIANAPOLIS, IN 46250 16 Z
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
r
Board members
PO INV ACCT AMOUNT. Audit Trail Code
121708 05- 2350 -00 $23.59
f,
Voucher Total $23.59
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 C:ARMEL
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
HDRIPS
IMPERIAL POOL SPA Purchase Order No.
7399 N SHADELAND AVE Terms
INDIANAPOLIS, IN 46250 Due Date 12/17/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/17/200 121708 $23.59
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
Date Officer