202518 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 072950 Page 1 of 1
ONE CIVIC SQUARE DAY TIMERS INC. CHECK AMOUNT: $37.99
CARMEL, INDIANA 46032 PO BOX 27013
LEHIGH VALLEY PA 18002 -7001 CHECK NUMBER: 202518
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4230200 60287011 37.99 OFFICE SUPPLIES
*DAY TIMER® Renewal Form 0 �:1:, M
for Diana Cordray
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INV# 60287011 CUST# 325 176 -282
Diana Cordray
City of Carmel
City Treasure
1 Civic Sq
Carmel, IN 46032 -7569
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1 96011 COMPACT 2PPD INDEXED REFILL 2012/01 $37.99
1 76718 BONUS SAVINGS CERTIFICATE
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309170 109611
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
r W� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Omm l/
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
176 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
16- 20
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund