163835 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T361870 Page 1 of 1
ONE CIVIC SQUARE MS CORTNIE LEE
CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 411 COOL RIDGE DR tt3
CARMEL IN 46032 CHECK NUMBER: 163835
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
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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
M S Co r fj� e L Purchase Order No.
off GDO q�
V A� 3 Terms
G GL j' /►1 /l�
e 2—, Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
n
ON ACCOUNT OF APPROPRIATION FOR
EA1
6 e5c z e_- h v /(e-
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
r
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
Y e_ 1. L Purchase Order No.
r AL
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
-3 -o g Cori rr C kC e L j e ALA
aoD
Total A dw
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
/7Y) 5. C� D 7� /7 i e— e e, IN SUM OF
I l coo R �'GC9 Or. �*3
ON ACCOUNT OF APPROPRIATION FOR
6 ,a- z e--h 0
2e---2�V,�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund