HomeMy WebLinkAbout155535 01/10/2008 CITY OF CARMEL, INDIANA V ENDOR: 360690 Page 1 of 1
e ONE CIVIC SQUARE JOHN THOMAS
CARMEL, INDIANA 46032 11576 CREEKSIDE LANE CHECK AMOUNT: $75.00
CARMEL IN 46033
CHECK NUMBER: 155535
CHECK DATE: 1/10/2008
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
`2200 4355300 75.00 ORGANIZATION MEMBER
X,
Y, ORIGINAL
PRO �a �D PROFES,S
CPESC, Inc.
v 49 State Street
a
c Marion, NC 28752 0 0
CFESC Phone: 828 -655 -1600 Fax: 828-655-1622
www.cpesc.org
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Payments Using Credit Cards
(PLEASE PRINT CLEARLY)
(circle one)
Visa or MasterCard Expiration Date l/
Card Number 6 S 7
Name on Card J O Nn G a rr or" w Phone 3 7-
Name of Purchaser Phone 7— KIS 9'G
Cardholder Billing Ad
Shipping Address (if different)
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CGt, r �'Y►� .G N V(03
3
Fees Paid or Products Purchased and Cost of Each:
J ol on, 6�.5
Amount of Purchase S
Location of Purchase G
Signature of Purchaser Date
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n 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
John Thomas
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
N/A Annual certification renews
John Thomas
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
VOU _QHER NO. WARRANT NO.
ALLOWED 20
John Thom IN SUM OF
E ngineering Dept.
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
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
n/a n 22 DO-4355300 which charge is made were ordered and
received except
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Z77 201D
2 WJ6-,
Sig ure
Cost distribution ledger classification if
Titl e,/ ,2-
claim paid motor vehicle highway fund