162216 08/05/2008 ;ITY Off' CARMEL, INDIANA VENDOR: 00351526 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY SCHOOLS
CARMEL, INDIANA 46032 5201 E 131ST ST CHECK AMOUNT: $5,171.89
ATTN: ACCT RECEIVABLE CHECK NUMBER: 162216
CARMEL IN 46033
CHECK DATE: 8/512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231300 ACCT 002 3,691.54 DIESEL FUEL
1120 4231400 ACCT 002 1,480.35 GASOLINE
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Prescribed by State Board of Accounts C ^y 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Diesel Fuel $3,691.54
Gas $1,480.35
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
Carmel Clay Schools
IN SUM OF
5201 East 131 st Street
Carmel, IN 46032
$5,171.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 313.00 $3,691.54 1 hereby certify that the attached invoice(s), or
1120 42- 314.00 $1,480.35
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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund