HomeMy WebLinkAbout203583 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00350363 Page 1 of 1
Q� ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 CIO MAYOR'S OFFICE CHECK AMOUNT: $28.74
r roN C10 MAYOR'S OFFICE CHECK NUMBER: 203583
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4351100 12.00 CAR CLEANING
1401 4239099 16.74 OTHER MISCELLANOUS
Co,
CDLV
pa
l 0,7 al.
Mike's Carmel
1250 Rangeline Road
317 571 -1929
B29PTT2
7/2011_, 11:18 AM, Shift 1
40803, Sale 82384530691
cc/ US 12.Of)
Subtotal 12.00
Sales Tax 0.00
Total 12.00
12.00
3 8
ank: you for choosing
Mike's!
VOUCHER NO. WARRANT N
ALLOWED 20
Petty Cash Mayor Brainard
IN SUM OF
One Civic Square
Carmel, IN 46032
$12.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# I Dept. INVOICE NO. ACCT #(rlTLE AMOUNT Board Members
1160 Receipt 43- 511.00 $12.00 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
Monday, November 07, 2011
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/27/11 Receipt $12.00
1 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
Prescribed by Stage 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
q A Id, PA
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
V (�'Nl
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
c am
W
WN Board Members
PO# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. 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
,g 20
Signature
6
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund