160922 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00350498 Page 1 of 1
e ONE CIVIC SQUARE INDIANA NEWSPAPERS, INC CHECK AMOUNT: $171.67
CARMEL, INDIANA 46032 307 N PENNSYLVANIA STREET
Po sox 145 CHECK NUMBER: 160922
dioh
INDIANAPOLIS IN 46206 -0145
CHECK DATE: 6!2512008
DEP ARTME NT ACCOUNT PO NUMBER INVO NU MBER AM DE
1701 T 4345500 42.50 PUBLICATION OF LEGAL
902 4345500 101.36 PUBLICATION OF LEGAL
:1192 .4345500 81923- 523402 27.51 PUBLICATION OF LEGAL
I
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i
i
i
Form Prescribed by State Board of Accounts 81923- 52340255 General Dorm No. 99 P (Rev. t')b7)
i'
CITY OF CARMEL To: INDIANAPOLIS NEWSPAPERS
307 N PENNSYLVANIA ST PO BOX 145
COUNTY, INDIANA INDIANAPOLIS, .IN 46206 -0145
PUBLISHER'S CLAIM
LINE COUNT
Display Matter (Must not exceed two actual lines, neither of which
shall total more than four solid lines of the type in which the body
of the advertisement is set). Number of equivalent lines
Head Number of lines City Of Ca rrile,
Body Number of lines w I R NAL I NV 3
Tail Number of lines
[d 0 [dept. of Co CoMM ty S e ry I CE Cos
Total number of lines in notice t,
COMPUTATION OF CHARGES
70.0 lines 1.0 columns wide equals 70.0 equivalent S 27.51
lines at .393 cents per line
Additional charge for notices containing rule and figure work (50 per cent of
above amount) RECEIVED
Charges for extra proofs of publication ($1.00 for each proof in excess of two) 110 S 00
TOTAL AMOUNT OF CLAIM
DATA FOR COMPUTING COST S
Width of single column 7.83 ems Size of type 57 point
Number of insertions 1.0 S 27.51
Piu to the provisions and penalties of Chapter 155, Acts of 1953,
l hereby certify that the foregoing account isjust and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
DATE: 06/06/2008 Docket No. 08060001 CA j Clerk
I NOTICE OF PUBLIC Title
HEARING BEFORE
THE CARMEL PLAN
COMMISSION
Notice is here b99 given that I
81923 5234025 j Commisson A willll hold i PUBLISHER'S AFFIDAVIT
ppublic hearing upon a Pet
i-
tidn To Amend the Monon
main PUD Ordinance pursu State of Indiana SS:
ant to the ap lication and
plans filed wit tthe .Depart- MARION County
ment of community Ser-
vices as follows:
Maoon &manPlarn Personally appeared before me, a notary public in and for said county and state,
Development in order to al-
low non residential uses on
P I mary floors Area. o f uni 23 prop. the undersigned KIM ATNIP who, being duly sworn, says that SHE is clerk
erties included in the Pri
mary Areaa,, along the north
side of Ma Street inclutle:
216W Main Street throuyhl of the INDIANAPOLIS NEWSPAPERS a DAILY STAR newspaper of general circulation
424 W Main street, -15 Third'
r Avenue NW and 20 Third
Designated No printed and published in the English language in the city of INDIANAPOLIS in state
08060001 OA, the hearing
will be held on Tuesday,
June 17, 2008 at 6:00 PM in
the Council Chambers car. and county aforesaid, and that the printed matter attached hereto is a true copy,
mel City Hall One civic
Square, C armef IN o pp1
k 46��0pp32.
o. 08060000
for this
(Docket No. No which was duly published in said paper for 1 time(s), between the dates of.
on file at.the Carmelo
f partment of Community
Services one civic square
c „lndiana 46032, an 06/0612008 and 06/06 /2008
.may -:be- viewed Monday
through Friday between the
hours 0f 8:00 AM and 5:00
PM,
Any written comments or
Oblections to the proposal Clerk
should be filed with the
Secretary of the Plan earn- Title
mission 'on or before the
date of the Public Hearing.
All written comments and
objections will be pre- Subscribed and sworn to before me on 06 /06 /2008
sensed to the -oral Commission. 1
Any comments con•
cem, the proposal will be
heard by the Commission
at the hearin according to 1
kits Rules'of�rocedure in
l n the hearing may
Ele LOUISE M. POWELL Not ry Public
be continued from time to
time by the commission as NOTARY PUBLIC
it may find necessary.
Ramona Hancock, SEAL
Secretary
Carmel Plan Commission STATE OF INDIANA
Form G5 RGV I (317)571.2417 My commission expires: 9 a 28.2016
IFAX (317) 571 -2426 my Dated: June 6 2008
(S :6 /6 /0!j 523402
STATE PRESCRIBED FORMULA RATE PER LINE
7.83 PICA COLUMN 94 POINT PUBLISHED 1 TIME =339
94 POINTS 5.7 PT. TYPE 16.49 PUBLISHED 2 T.IM:ES= .509
16.49 EMS 250 -.06596 SQUARES PUBLISHED 3 T[MES= .679
.06596 SQUARES x $5.14 -.339 CENTS PER LINE PUBLISHED 4 T[MES= .848
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
a. 6,�7-k q5
o�
a 7:51
ON ACCOUNT OF APPROPRIATION FOR
40 cc5
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 a 3 ag 5 a 7.5/ 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
i a 20 6�
Sign
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
a
/kntlfi:��� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
x)90 &0oal 01q a 7. 5
Total a 7 J fI
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
Form Prescribed by State Board of Accounts 900549_ Gcneral Form No. 99 P (Rev. 10 7)
CITY OF CARMEL- TOPICS LEGALS To: INDIANA NEWSPAPERS
307 N PENNSYLVANIA ST PO BOX 145
COUNTY, INDIANA INDIANAPOLIS, IN 46206 -01.45
PUBLISHER'S CLAIM
LINE COUNT
Display Matter (Must not exceed two actual lines, neither of which
shall total more than four solid lines of the type in which the body
of the advertisement is set). Number of equivalent lines
Head Number of lines
Body Number of lines
Tail Number of lines
Total number of lines in notice
COMPUTATION OF CHARGES
103.0 lines 2.0 columns wide equals 206.0 equivalent S 101.36
lines at .492 cents per line
Charges for extra proofs of publication (S 1 -00 for each proof in excess of two) S .00 00
TOTAL AMOUNT OF CLAIM
DATA FOR COMPUTING COST 5
Width of single column 7.83 ems Size of type 5,7 point S S
Number of insertions 1.0 S 101.36
Pursuant to the provisions and penalties of Chapter 155, Acts of
I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
City of Carmel, Indiana
L_„artment:Carmel Redevelopment commission
DATE: 06/0612 o e diana4603z Clerk
.Project: PARCEL 7A, Reggional Performing Arts center Title
Interior Finish Packagge P5
CSO Project No. 2531D
Notice is hereby given that the Carmel Redevelopment Com,
mission for the a7 c
7V�549 -5224 City of Carmel Hamilton COUnt1� PU AFFIDAVIT
V 7 office e
Ofthe Of Community Serve Indiana will
Services, Thiirdl
Floor, Carmel city Hall, One Civic Square, Carmel. Indiana
46032 unti15 :00p.m.ED Tonor before iuly16.2008 Bids Stale Of Indiana 55:
be publicly opened read aloud at the meeting of the
Carmel Redevelopment Commission the same day which'
wI ll be in the Council Chambers located on the second floor Hamilton County
taken under ad 6 emen N0late il be accepted
the Owner s intent to award the contract after a two week
Bidevaluationpesa ('el'SO
All bids an roposalls s ll be Prof ty and completely exe-
nally appeared before me, a notary public in and for said county and state,
d phap
spe c n the ationsproposal forms provided with the drawings and,
specci fic. bidding Reguv nts eme will include the non
collusion affidavitazrequved.b the State of Indiana. The the undersigned KINI ATNIP who, being duly sworn, says that SHE is clerk
bid envelope must be sealed and the following label on
the lower left corner:
BID PARCEL 7A, REGIONAL PERFORMING ARTS CENTER
INTERI FINISORFINISHPACK (Packae AGEPS
BID PAC of the Noblesville Ledger a newspaper of general circulation
gg
q A bid bond made payat le to the City of Carmel will be re:
drt percent 00 P mentbondwil printed and published in the English language in the city of NOBLESViLE in state
required of the successful bidder upon execution of the
Contract. It is Intended that actual construction Of all work
divisions shall be started as soon as practicable, and each
bidder shall be Prepared to enter promptly into aconstrue. i and county aforesaid, and that the printed matter attached hereto is a true copy,
,,tion contract, furnish a performance and labor and material
!77ayment bond, and begin work when authorized by the
IOwner in the event the award is made.
't iedttO thetoll ,but isnotnecessarilyJim -I which was duly published in said paper for 2 time(s), between the dates of
PARCEL 7A, REGIONAL PERFORMING ARTS CENTER
INTERIOR FINISH PACKAGE P5
'The g eneral scope of the Work consists'ni interior finishes 05/30/2008 and 0(i /0(i /200$
and technical equipment for a new Regional Performing.
Arts Center.
tlOntract Documen ts. for
foll ing lo tions: Project may be examined at the
owca
Shlel Sexton Company, Inc
902140 h Capitol Avenue
Indianapolis, IN 46204 I Clerk
Construction Data, Inc.
ree Title
1 437 N !Illinois Stre
3t7 et
IndlanapoIrs,IN 462
63 ro 77 ppho
317. ho Subscribed and sworn to before e on 06/061. 008
re 3 77 ne
m
(317)637- 341Sfax
obtained Rep Reprograp Inc., Project on otthe' r
Constr o Inc.,at the address Stated abo ee upon
ment of $200.00 for the set. Additional non refundable.
,deposit sets may bepurchazedfromReprographics Inc per L UI$E M. POWELL Notary public
their pricing schedule. Payment must be by check. NO CASH'
ACCEPTED. Make checks payable to ShielSexton Company, NOTARY PUBLIC
Inc., and deliver them to Reprographics Inc. Deposit will be SEAL
to Bidders who submit a bid and return bidding
documents in good condition within 10 days from bid open- STATE OF INDIANA
lin ddte.
Form 65 REV 1 Bi dders shall assure that they have obtained complete sets MYcomnussion expires:
of drawings and Contract Documents and shall assume the
risk of any errors or omissions in bids prepared in reliance
on Owner- Contractor Agreemen s beexeccufed by
Carmel Redevelopment Commission.
Wage rates for the Project shall not be less than the current
c pr
escnbed scale of wages as determined by the common
cn�truction Wage Committee in accordance with LC. 5 -16
7 and included in the Project Manual. I
dingrr equirements and othe mspp!artant the he he d
on T u n e 25, 2008 at 1:00 p .m. EDT at the Shiel Sexton C o r n Pang lob site trailer located at the southeast comer Of 3rd
Ave SW and City Center Dnve Carmel, Indiana. Ali prospea
live bidders are invited to attend the pre-bid conference.
There-bi confere i s not mandatory.
N 0 op O7 anv.bid or mposal within a period
1 r BLgg 41NVh 59t for receiving bids
0 i IVAI _J&q GOmmisslOn
00 'S6 I Y73 Wbd �O�P1yZ for a A
D0-QZI SbJ0 71A 00'Og� j
O000 r s
SIi
Form Prescribed by State Board of Accounts 900549 522468 General Form No. 99 P (Rev. 1987)
CITY OF CARMEL- TOPICS LEGALS To: INDIANA NEWSPAPERS
307 N PENNSYLVANIA ST PO BOX 145
COUNTY, INDIANA INDIANAPOLIS, IN 46206 -0145
PUBLISHER'S CLAIM
LINE COUNT
Display Matter (Must not exceed two actual lines, neither of which S
shall total more than four solid lines of the type in which the body
of the advertisement is set). Number of equivalent lines
Head Number of lines S
Body Number of lines S S
Tail Number of lines
Total number of lines in notice
COMPUTATION OF CHARGES
103.0 lines 2.0 columns wide equals 206.0 equivalent S 101.36
lines at .492 cents per line
Charges for extra proofs of publication 1.00 for each proof in excess of two) .00 S .00
TOTAL AMOUNT OF CLAIM S
DATA FOR COMPUTING COST
Width of single column 7.83 ems Size of type 5_7 point S
Number of insertions 1.0 S 101.36
Pursuant to the provisions awl penalties of Chapter• 155, Acts of 1953,
1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
S3�tl.ON 1�9111d S��IlOpN 31�9f1>d 1
DATE; 06106/2 Project. PARCE! 7A, Regional Performmg Arts Center l V Clerk
Interior Finish Package 5
CSO Project No, 2531 Title
Notice is hereby given that the Carmel Redevelopment Con•
mission for the CdvofCarmel Hamilton County Indiana will
receive sealed bidds for the above described Project at the
office of the Depart ment of Community Services. Third PUBLISHER'S AFFIDAVIT
9Q0549 -5224 Floor Carmel City Hall, one Civic Square, Carmel, Indiana
4603 until 5:00 p.m. EDT on or before July Ill, 2008. Bids will
he publicly opened and' read aloud at the meeting of the
Carmel Redevelopment Commission the same day, which State of Indiana SS:
will be in the Council Chambers located on the second Floor
of City Hall at 6:30 "no., at which time such Bids will be HamiltonCOUnt
taken under advisement. No late bids will be acrevvled. It is Y
the Owner's intent to award the Contract after ahvo week
BitlevaluationPer"d.
Att bidsandproposalsshallhepropper lyandcompletelyexe PerSOnal1 appeared before me, a rotor p ublic in and for said county and state,
cured on the proposal forms provided with the drawings and I Y pp Y P
specifications. Bidding Regwrements will inclutle the non
collusion affidavit as required b the State of Indiana. The
the
the lower sealed and the following label on, the undersigned KIM ATNIP who being duly Sworn, says that SHE is clerk
BID PARCEL 7pp,, REGIONAL PERFORMING ARTS CENTER
INTERIOR FINISH PACKAGE P5
BID PACKAGE P- (Packsg No.).
•A bid bond made payable to the Cit of Carmel will be re-- of the Noblesvi I le Ledger a newspaper of general circulation
V Qred in the amount of 5% of the total bid price. A one hun-
tlred percent ((00%) performance and payment bond will be;
re quired of thhe successful bidder upon execution of the
antracLItis intended that actual construction of all work printed and published in the English language in the city of NOBLESVILLE in state
divisions shall be started as soon as practicable. and each I
bidder shall be prepared to enter promptly Into a construc-
tion contract, furnish a performance and labor and material
payment bond, and begin work when authorized by the
wrier fn the eve nt the award is made. and county aforesaid, and that l'he printed matter matter attached hereto IS a true COPY,
Dw
The Project consists generally of, but is not necessarily lim-
Recite,l110011owing
P A RI 7A. SH PACKAGE P E R FORMING ARTS CENTER 1 which was duly published m said paper for 2 tirne(s), between the dates of.
The general swpe of the Work consists of interior finishes
and technical equipment fora new Regional Performing
Arts Center. 05/30/2008 and 06/06/2008
Contract Documents for the Project may be examined at the
(cliowing lOCahons:
Shiel Sexton Company, Inc.
902 North Capitol Avenue
indianapolis,IN46204
Reed Construction Data, Inc.
reedconstructiondata.com I Clerk
Rurtocigraphie' Inc.
431 N.Tlhnois Street Title
Indianapolis, IN 46204
wwwgro raphixcom
(317 637 -3377 phone
(317) 637.3415 fax Subscribed and sworn to before nic on 06/061) 8
ONE COPY of such drawings and project manual be
obtained from Reprographics Inc., acting on behalf of may the
Construction Manager -as- Agent- fo•the•Owner, Shlei Sexton-
Company, Inc., at the address stated above, upon the pay
ment of $200.00 for the set: Additional non refundable
deposit sets may be purchased from Reprographics Inc per
their ppricing schedule. Payment must be by check. d0 CASH
ACCEPTED. Make checks ,payabletoShiel Sexton Company LOUISE M. POWELL Notary I ublic
Inc., and deliver them eprographics Inc. Deposit will he NOTARY PUBLIC
re funded to Bidders wh R osubmlt a bid and re turn bidding
documents in good condition within 10 days from bid open- SEAL
inqdate. de
Bidrs shall assure that they have obtained complete set STATE OF INDIANA
Form 65- 1 -88 of drawings and Contract Documents and shall assume thel M commission ex
risk of any errors or omissions in bids prepared in reliance Y Tres:
P 2016
on incomplete sets of drawings and Contract Documents.
Owner- Contractor Agreements will be executed by the
Carmel Redevelopment Commission.
Wage rates for the Project shall not be less than the current,)
Prescribed scale of wages as determined by the Common
Construction Wage Committee in accordance.with I.e. 5 -16
7 and included in the Pro {ect Manual.
A pre-bid conference for discussions of the Project the bid-
ding requirements and other im vortant matters will be held
on June 25, 2008 at 1:00 p.m. EDT at the Shiel Sexton Com-
pany 1'ob site trailer located at the southeast corner of 3rd
Ave SW and City Center Drive Carmel, Indiana. All prospec-
five bidders are invited to ahend the pre-bid conference.
The pre -bid conference is not mandatory.
No bidder may withdraw any bid or proposal within a period
of ninety (90) da s following the date set for receiving bids
or °proposals. The Carmel Redeveloppment Commission
reserves the right t0 hold any oral) bitls or proposals for a
Period of not mare than ninety (90) days and said bids or
proposal shall remain in full force and effect during said
period. The Carmel Redevelopment Commission reserves
the right to re'ect and/or cancel, any and all bids, solicita-
tions and /or offers in whole or In part as s ecified in the
solicitations' when It is not in the best in�erests of the
governmental body as determined by the purchasing
agency in accordance with ICS- 22 -18 -2
Diana L.Cordray
Clerk- Treasurer
1NL 5/3tl_ F/F S776Fr111.
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
7r nnz. l� S -r Purchase Order No.
30 1r7 ti 4 Terms
C) 13 o 1 q I
�M� c� z� t s =i tV oA o la— 0 1 uS Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
t� S: c a 6Y n �s4_�)
Total +01,310
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.
ALLOWED 20
��r�c.. 1Je ;,vsPa �es
IN SUM OF
3 4 62a�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
S 1 01 JiG 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Form Uby State Board of Accounts 900549- 5232639 Gcncral Form INO. 99 I' (Rcv. 1957)
CITY OF CARMEL- TOPICS LEGALS To: INDIANA NEWSPAPERS
307 N PENNSYLVANIA ST PO BOX 145
COUNTY, INDIANA INDIANAPOLIS, IN 46206 -0145
PUBLISHER'S CLAIM
LINE COUNT
Display Matter (Must not exceed two actual lines, neither of which S
shall total more than four solid lines of the type in which the body
of the advertisement is set). Number of equivalent lines
Head Number of lines S
Body Number of lines S
Tail Number of lines S
Total number of lines in notice
COMPUTATION OF CHARGES
87.0 lines 1.0 columns wide equals 87.0 equivalent S 42.80
lines at .492 cents per line
Charges for extra proofs of publication ($1.00 for each proof in excess of two) .00 S .00
TOTAL AMOUNT OF CLAIM
DATA FOR COMPUTING COST 8
Width of single column 7.83 ems Size of type 5_7 point S
Number of insertions 1.0 S 42.80
Pursuant to the provisions arld penalties of Chapter 155, Acts of 1953,
1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
DATE: 06/13/2008 Clcrk
Title
NOTICE TO TAVAYERS
OF HEARING THE
900549 5232639 P UBL I SHE R 'S ED P UBLISHER 'S AFFI.DA.VVI.T
RE �rABUS
OF A CUMULATIVE CAPITAL
DEVELOPMENT FUND State Of Indiana SS:
Notice is herebq9 given the
'Car Hamilton co unty Hamilton County
Indiana, that the Carmel
Common Council will con.
Sider at their Regular Meet-
C 5 a; C armel city Han Personally appeared before me, a notary public in and for said county and state,
Council Chambers at 6:06
p.m. on June 16, N", the
c m alive c pital of the undersigned Karen Mullins who, being duly sworn, says that SH E is clerk
opment Fund and its tax
levvtlyyi undertho6provisionsOf
s eq. a and 36 9.1551 et seq. of the Noblesville Led gel a newspaper of general circulation
for the purposes as follows:
Any and all uses and Dpui-
poses permitted under Pr di
ana Coe 3 -8.14 nd printed and published in the English language in the city of NOBLESVILLE in state
equipment and police radio'
equipment, under Indiana.
Code 36- andri for ppublic and county aforesaid, and that the printed matter attached hereto is a true COP
buildings and right of wa y" p,
under Indiana Code 36.9-
16.3 for public ways and
p a rks a nd rsewers,
recreation, which was d P ublished said P aper for 2 time between the dates of
parks and recreation, police,� hih dl blihd i id p p p i t
land fire equipment, bond's
retirement and. public
transpDilation, under Indi -i
ana Gode 36 -9 -16.5 for pub- 06/06/2008 and 06/13/2008
lic ways and sidewalks
under Indiana Code 36.94
for the general improve
me of streets, alleys,
Sitl. alks, curbs, gutters,
drains and sewers, under
.Indiana Code 36.10.3.21
and /or Indiana Code 36.10 Till
4 -36 for parks recreation
I and culture, and under Indi-
aria Code 36-9- 15.5 -2 for
'any and all other uses and Subscribed gold sword to before ille oil 06 /13 O8
purposes for which propp-
erty taxes�are authorized to
be Imposed.
The tax will be levied on all
taxable real and personal
property within the taxin
district 'and will not exceed
S.05g0 per $loo assessed LOUISE M. POWELL N tzu Public
valuation. The propposed
fund will be levied begin
ning with the taxes due and NOTARY PUBLIC
Payable in the year 2009.
Tax ayers, appearing at'. SEAL
Form 65 REV 1 88 Sin e i n tithe My commiss expires: STATE OF INDIANA
T e proposal for re- estab-
ishment of the Cumulative
Capital Development Fund
and its levy is suN1 t to
approval by the Depart- 1
ment of Local Government
Finance who will require a
Notice of Submission to be
given to the taxpayers by
publication. After the pubb-
cation of the Notice of Sub-
mission, 5o or more taxpay-
ers in the taxing district
may file a petition with the
Countyry Auditor not later
than 30 days after publica-
tion setting fort h their
,objections to the proposed
levy.
Diana L. erk ra,
IAMC, Clerk Tre
(NL 6/6,6/13 5232639)
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.
Pay e 1
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�D
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.
ALLOWED 20
IN SUM OF
1 r wpb o L4boo
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #[TITLE AMOUNT
DEPT. I hereby certify that the attached invoices or
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
-o -4 Y
n
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund