158449 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 00350929 page 1 of 1
ONE CIVIC SQUARE INDIANA DEPT OF REVENUE
CARMEL, INDIANA 46032 SYSTEM SERVICES CHECK AMOUNT: $18.72
PO BOX 6197 CHECK NUMBER: 158449
INDIANAPOLIS IN 46206 -6197
CHECK DATE: 411512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4359200 18.72 F B TAX
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^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 ��,P /0 a Purchase Order No.
Terms
r
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
l 14 ��/3 T x
Total
i hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same irraccordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. -WARRANT NO.
ALLOWED 20
IN SUM OF
7
ON ACCOUNT OF APPROPRIATION FOR
CP
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
OS' 1 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
I 4 96-
Sig atu
l LC
tiv l v
Cost distribution ledger classification if tfl
claim paid motor vehicle highway fund