HomeMy WebLinkAbout162250 08/07/2008 a- f CITY OF CARMEL, INDIANA VENDOR: 361362 Page 1 of 1
ONE CIVIC SQUARE ALEXANDER TALBOTT CHECK AMOUNT: $599.49
a CARMEL, INDIANA 46032 47 S PENN. SUITE 300
INDIANAPOLIS IN 46204 CHECK NUMBER: 162250
CHECK DATE: 8/7/2008
DEPAR TMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT D
<-V02 4359003 599.49 FESTIVAL /COMMUNITY EV
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Claim No. Warrant No. I have m_ •the within -claim •andd hereby
IN FAVOR OF certify as follows:
"Inat it is in proper "form.
That- it is -duly authenticated es required
17y law.
That it is based upon statutory authority.
That it is apparently correct
incorrect
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SPEEDOMETER I AUTO MILEAGE
DATE FROM TO
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AUTO LICENSE NO. TOTALS
+SPEEDOMETER READINn colur ns are.to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the pro 'sions and penalties of Chapter 155, Acts 1953. 1 hereby certify Lhat the foregoing account is just and correct, that the amount claimed is gally d after nil all lust creel
and that no p of the a has been paid.
Date 0
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Claim No. Warrant No. I have exernined •the withmn claim and, hereby
RN FAVOH OF cerdiY as follows:
inert it is in proper "form
That. it is -duly erutheaticafed as required
by law.
That it is rased upon statutory authority.
That It is apparently. 1 correct
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(OFFICE. 9OAR'D, DEPARTMENT OR INSTITJTION)
DATE PROM TO SPEEAOMETER AUTO MiL� G
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POINT I POINTI START -INtsP NATURE OF BUSINESS TRAVELED PER MILE
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AUTO LICENSE t70. 3ZG wD
TOTALS
+SPEEDOME'T'ER READING columins are.to be used only when distance between points cannot be deter, -coned by fixed mileage or official highvzcy map.
Pursuant to die pro vi ions and penalties of Chapter 155, Acts 1953. I hereby certify tha! the foregoing account is just and correct, that the a claimed is egall du e. she a 4. all just tree
and that no part f ha
the s e s been paid.
Date C�
I
1_
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
I (2VQ- Purchase Order No.
q,,) S Penns�l,cnc 2P Terms
r,P
(C-A-PI O t'� N _10 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) c
r l4 `Z 06 6 �1r'1Ti
nn o b 1 1c� 3� (''O y
4 -r 4 iu.-o t' t I t c� "1 a J
Total
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
a
599.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOfCE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0 r 0 Z :5 2 3 acs Fy bill(s) is (are) true and correct and that the
q 6 2- J 9d -03 a Z 4 ,f materials or services itemized thereon for
which charge is made were ordered and
received except
20 CS
nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund