164325 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 360083 Page 1 of 1
0 ONE CIVIC SQUARE PAMELA LUX
CARMEL, INDIANA 46032 684 YORK PLACE CHECK AMOUNT: $65.61
FISHERS IN 46038 CHECK NUMBER: 164325
CHECK DATE: 9/30/2008
DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4359000 65.61 SPECIAL PROJECTS
I
I
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total (p
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
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
200E
Sig t re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund