176986 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 353901 Page 1 of 'I
ONE CIVIC SQUARE WILLIAM ARNOLD
CARMEL, INDIANA 46032 11431 N COLLEGE AVE CHECK AMOUNT: $100.00
CARMEL IN 46032 CHECK NUMBER: 176986
CHECK DATE: 9/2/2009
D EPARTMENT ACCOUNT P NUMBE IN NUMBE AMOUNT D
i01 5023990 100.00 OTHER EXPENSES
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm 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. [.j-) 1 r et, yi f t l Purchase Order No.
l 1 43 1 /l. n e- )4L C- Terms
GeLrm e- l Al i Date Due
Invoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 4
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
M r. i_�, I l c� m a!'nc l IN SUM OF
4 3 1 AJ e-,D e e� R0e
ON ACCOUNT OF APPROPRIATION FOR
c% z f 1�e —1
4 o 6V Board Members
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund