HomeMy WebLinkAbout164793 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: T362016 Page 1 of 1
s ONE CIVIC SQUARE SUZANNE K KLEIN CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 20 KNOLL COURT #A
.ate CARMEL IN 46032 CHECK NUMBER: 164793
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 .100.00 REFUND
A
v
3.
�,e
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
7— e"; M Purchase Order No.
C r+ Terms
L' a r m �l b v 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6
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
%Y1�. .svz�nr�F K. K lei n
IN SUM OF
'A6 6 3�
ON ACCOUNT OF APPROPRIATION FOR
v ,,,1-
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/U I ��3 e1 9 v r z7 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
L1 wk�
2
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund