HomeMy WebLinkAbout203117 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 358229 Page 1 of 1
ONE CIVIC SQUARE NICOLE PASSINEAU
CARMEL, INDIANA 46032 CHECK AMOUNT: $150.00
cio oocs
CHECK NUMBER: 203117
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 150.00 SAFETY SUPPLIES
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/14/11 Safety boots $150.00
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.
Nichole Passineau ALLOWED 20
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 I I 42- 390.12 I $150.00 1 hereby certify that the attached invoice(s), or
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
day, Oc ber 4, 1
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund