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173819 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351160 Page 1 of 1 i 0 ONE CIVIC SQUARE FEDEX KINKO'S CHECK AMOUNT: $107.70 ?a CARMEL, INDIANA 46032 PO BOX 672085 DALLAS TX 75257 -2085 CHECK NUMBER: 173819 CHECK DATE: 6/24/2009 DEPA ACCOUNT PO NUMBER INVOICE NUM AMOUNT DES 902 .4345001 070400007695 107.70 INTERNAL MATERIALS 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 Ae_ o Y 3 Purchase Order No. 72 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) A 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. b 20 i. Clerk- Treasurer u f VOUCHER NO. WARRANT NO. ALLOWED 20 vs aysa• �r �5' sic IN SUM OF fir /k��7.y 6 720 cF:5 /mss /Z4' 75:, 7, 2oY5 ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or yD2 ��o yax769s y3 �5 G� l /0770 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 Dlrer natu tor o erations Cost distribution ledger classification it Title claim paid motor vehicle highway fund