162465 08/07/2008 ^Aw CITY OF CARMEL, INDIANA VENDOR: 241251 Page 1 of 1
q ONE CIVIC SQUARE PETTY CASH
'CARMEL, INDIANA 46032 C/O COURT CHECK AMOUNT: $10.29
C/O COURT CHECK NUMBER: 162465
CHECK DATE: 8/7/2008
DEPARTMENT ACCOU PO N UMBER INVOIC NUM AMOUNT DESCRIPTION
1301 4356502 10.29 DRY CLEANING
i
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V
j ROTT, KIM
(317)571 -2408
DUE Fri 06/27/08 04:00 PM
Emp.: AA
Drop: 06/25 10 :57 AM
Garment cs o a
Robe 30% off 1 10.29
r
1 PCs
SubTotal: $10129
Tax: $0.00
Envir. Fee: $0.00
HANG/
,K
G r Vc)t a1 $10.29
tar Fy�T,
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 /l
G Ut� Purchase Order No.
G 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.
n ALLOWED 20
IN SUM OF
X 12
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 D G
5"'0.2, 10 -d I J 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 TitTe-
claim paid motor vehicle highway fund