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180504 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00351554 Page 9 of 1 Q� ONE CIVIC SQUARE POINDEXTER EXCAVATING INC CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 Po eox 36399 INDIANAPOLIS IN 46236 -0399 CHECK NUMBER: 1805D4 CHECK DATE: 1211612009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 602 5023990 120909 100.00 HYDRANT ME'T'ER REFUND VOUCHER 093799 WARRANT ALLOWED 351554 IN SUM OF POINDEXTER EXCAVATING INC ;,ii P.O. Box 36399 Indianapolis, IN 46236 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 120909 05- 2350 -00 $100.00 L:: Voucher Total $100.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351554 POINDEXTER EXCAVATING INC. Purchase Order No. P.O. Box 36399 Terms Indianapolis, IN 46236 Due Date 12/9/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1219/2009 120909 $100.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6 Date Officer