175651 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 362888 Page 1 of 1
ONE CIVIC SQUARE CLASSIC CLEANERS CHECK AMOUNT: $342.00
CARMEL, INDIANA 46032 8641 BASH STREET
INDIANAPOLIS IN 46256 CHECK NUMBER: 175651
c'_oH co
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT PO NUMBER INVO ICE NU MBER AMOUNT DESCRIPT
1207 4239099 07- 903677 72.00 OTHER MISCELLANOUS
1207 4239099 07- 903678 54.00 OTHER MISCELLANOUS
1207 4239099 07- 903686 72.00 OTHER MISCELLANOUS
1207 4239099 07- 903687 72.00 OTHER MISCELLANOUS
1207 4239099 07- 903688 36.00 OTHER MISCELLANOUS
1207 4239099 07- 903692 18.00 OTHER MISCELLANOUS
1207 4239099 07- 903693 18.00 OTHER MISCELLANOUS
Prescribed by .11 Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
C 0_ 6ss (C. Purchase Order No.
0 �D Za 7 S�Z Terms
�C1�1 U u Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n llo bq 61- b3toy �s .c E
09-q 6502- once c -eane- g, ov
Dq- o LlIn -evts c -eaae (0-��
09- 903 (P'1$ C- -eaA-C
963ta I Ua (nom C go d,
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
16 6-1
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
O1 bill(s) is (are) true and correct and that the
0`1 q b. ►p q2 3) 0 I materials or services itemized thereon for
Cn-90309 2 9 o 9 which charge is made were ordered and
b9 9 6 30 3 9 p95 64 received except
`l-G63iog6 3? oq5
bq -q03U 31v 91
D go3'1'1 o s
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund