HomeMy WebLinkAbout201252 09/13/2011 *f CITY OF CARMEL, INDIANA VENDOR: 00350182 Page 1 of 1
ONE CIVIC SQUARE HUMANE SOCIETY OF HAMILTON COUNTY
+a CARMEL, INDIANA 46032 1721 PLEASANT ST, STE B CHECK AMOUNT: $100.00
NOBLESVILLE IN 46060 CHECK NUMBER: 201252
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER A MOUNT DES CRIPTION
101 5023990 100.00 OTHER EXPENSES
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.
Z e-4-5 4-,4 5 Terms
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Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total -4 c7 (1
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.
60e1 for-- ALLOWED 20
a-m o Gov v► t IN SUM OF
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0 e
ON ACCOUNT OF APPROPRIATION FOR
1 �2 e,� u n�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 q 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 1 1
ature
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund