HomeMy WebLinkAbout162985 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 361715 Page 1 of 1
ONE CIVIC SQUARE MR. ROYCE SIMPKINS.
CARMEL, INDIANA 46032 13769 LANGLEY DRIVE CHECK AMOUNT: $100.00
CARMEL IN 46032
CHECK NUMBER: 162985
CHECK DATE: 8/2012008
DEPARTM ACCOU PO NUMB INVOIC NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 REFUND- GAZEBO
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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.
�y 0 Terms
G r km 1 L n/ 46032-
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
v�G Ro ve `J ,r.,, Q ,14 5 A 9 zd 4e
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.
k-
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
k e
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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 Title
claim paid motor vehicle highway fund