204920 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00351721 Page 1 of 1
j ONE CIVIC SQUARE JAMES PAGE
CARMEL, INDIANA 46032 CHECK AMOUNT: $8.99
CHECK NUMBER: 204920
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4342100 77038909774 8.99 POSTAGE
WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IN SUM OF CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
Y
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
rr $9
n Purchase Order No.
O AP OPRIATION FOR
Term s
De artment
Date Due
s t
Invoice Invoice Description Amount
X77 ICE NO. ACCT #RITE /AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
I hereby certify that the attached invoice(s), or 12/09/11 77038909774 $9.62
38909774 43- 421.0062
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
r
Monday, December 19, 2011
Director IS
Title
,t distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
n paid motor vehicle highway fund with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Lai
FalizaOffice.
530 E CARMEL DR
CARMEL, IN 46032
Location: MN K
Device ID: MZZK -POS1
Employee,,. 1799027
Transaction: 77038909774
Standard- Medium, 17xl7x7
790363010746 1, (T) 8.99
Merchandise taxable subtotal: 8.99
Tax(IN) 7.000% 0.63
Total Due: 9.62
Cash: 20.00
Change Due: 10.38
DUPLICATE
M Ueight entered manually
S Ueight read from scale
T Taxable item
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December 9, 2011 2:18 :24 PM