178148 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363421 Page 1 of 1
ONE CIVIC SQUARE MICHELLE FISHER CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 16509 WITHAM LANE
o NOBLESVILLE IN 46062 CHECK NUMBER: 178148
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
;,101 5023990 100.00 OTHER EXPENSES
I
I
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
M F t S k r Purchase Order No.
S u S u Yl M -e-An o t i w c.! n
/6'509 LcJ -LhG -M -e— Terms
Alob D Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
O J�v Sum en�ar -1 (���..1 K. /2 u ✓t l�-v
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
Ms IYX C hell e F 1 s A e, r IN SUM OF
(,tea IKI RLIA
ON ACCOUNT OF APPRO RIATION FOR
�o 9EA
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
U S023 990 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund