161216 07/08/2008 1 CITY OF CARMEL, INDIANA VENDOR: T361480 Page 1 of 1
ONE CIVIC SQUARE INDIANA MOBILITY ASSOC
CARMEL, INDIANA 46032 MR MRS CORY MEYER CHECK AMOUNT: $100.00
211 2ND ST NE CHECK NUMBER: 161216
CARMEL IN 46032
CHECK DATE: 7/812008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
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. a
Payee
Z7 Purchase Order No.
YC` nc'v1
Ines. iMr s o k-/ e V 'e- Terms a
oZ 02, "'L o i
ty_6L1 =Ano �e =Af Z Date Due
N
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
A ssoc e- a '7 nc 0 p-�
Total 117
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.
ALLOWED 20
4y '4 5.5
b/ e- V -e- r IN SUM OF
or
n/. E
ON ACCOUNT OF APPROPRIATION FOR
Ate- SEA/
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Z� l 0z3996 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund