HomeMy WebLinkAbout162862 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 359592 Page 1 of 1
ONE CIVIC SQUARE MARION COUNTY HEALTH DEPT
CHECK AMOUNT: $125.00
CARMEL INDIANA 46032 CHRONIC DISEASE CONTROL 3RD FLOOR
3838 N RURAL ST CHECK NUMBER: 162862
INDIANAPOLIS IN 46205
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBE INVO N UMBER AMOUNT DESCRIPTION
1192 4357004 125.00 EXTERNAL INSTRUCT FEE
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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))
Cl
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
3 e 3 8
ia5.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
'7 670 .0 la6.00 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
Sign�_t
gw Cost distribution ledger classification if Title
claim paid motor vehicle highway fund