176186 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 362888 Page 1 of 1
ONE CIVIC SQUARE CLASSIC CLEANERS CHECK AMOUNT: $121.50
s r' CARMEL, INDIANA 46032 8641 BASH STREET
INDIANAPOLIS IN 46256 CHECK NUMBER: 176186
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBE INV OICE NU AMOUNT DESCR
1207 4356501 08- 900951 67.50 LAUNDRY SERVICE
1207 4356501 08- 900952 54.00 LAUNDRY SERVICE
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
y6�,� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0 9 0 k- i 11—s
Total
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
IN SUM OF
4121. S
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
7 Q�- GO 3 o i c16 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
j 20 O C
Suture
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund