162921 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COI CK AMOUNT: $412.70
CARMEL, INDIANA 46032 ao KEN MILLER
CHECK NUMBER: 162921
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4239040 261.79 FOOD BEVERAGES
1150 4239099 3.96 OTHER MISCELLANOUS
1150 4345002 146.95 PROMOTIONAL PRINTING
i
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
G o 2 Purchase Order No.
Teirms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
813 v8 O�" A-11 C e o
4/ A0
A1 3�
5t v5 St iY To S
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
ON ACCOUNT OF APPROPRIATION FOR
\J
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
/DSO 6AAA+fiP gZ3 '1 0L M S Z' bill(s) is (are) true and correct and that the
materials or services itemized thereon for
4A A40 which charge is made were ordered and
U'PWi.4 received except
DiGf�r(�'4 �U 33
K,;K� '!E
20
i ture
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund