HomeMy WebLinkAbout204205 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00353420 Page 1 of 1
ONE CIVIC SQUARE GEORGE W DAVIS
CARMEL, INDIANA 46032 3854 CORNWALLIS LANE CHECK AMOUNT: $25.00
CARMEL IN 46032
CHECK NUMBER: 204205
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 REIMB 25.00 OTHER EXPENSES
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))
11/25/11 gift certificate for will estate program $25.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
George W. Davis
IN SUM OF
3854 Cornwallis Lane
Carmel, IN 46032
25.00
ON ACCO OR
CE
PO# Dept. �MOUNT Board Members
852 852.00 $25.00
1 hereby certify that the attached invoice(s), or
I I I
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
Friday, December 02, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund