HomeMy WebLinkAbout157629 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH BROOKSHIRE GOLF COU
CARMEL, INDIANA 46032 C/O PAUL BLOCKOMS C HECK AMOUNT: $319.35
CHECK NUMBER: 157629
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4238900 319.35 OTHER MAINT SUPPLIES
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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
Purchase Order No.
�ZS Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(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
P YLDov(&�aj- GL.f- IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
C'O'c.. Cj
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
CA C tfZ 32joc> lb bills) is (are) true and correct and that the
materials or services itemized thereon for
L L
42-3 (l.� 5 which charge is made were ordered and
received except
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
Roo' Goy c w(3 Purchase Order No.
C V- Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
g
KIP-1 R.o S '40P 9 L-:4
_T' SAP S,.)PP 6-S 280.
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
VOUCHED NO. WARRANT NO.
ALLOWED 20
�Root�S IN SUM OF
G(ZC C k o s ICS
�..0 C.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
GR.C_ 0,2321 (Z,jC�_ bill(s) is (are) true and correct and that the
materials or services itemized thereon for
C1-C_ )SOI which charge is made were ordered and
received except
20
Gll
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund