176249 07/27/2009 CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE PROVIDENCE BILTMORE HOTEL CHECK AMOUNT: $1,179.72
CARMEL, INDIANA 46032 11 DORRANCE STREET"
PROVIDENCE RI 02903 CHECK NUMBER: 175249
CHECK DATE: 7/2712009
DEPARTMENT ACCOUNT PO NUMBER INVOI N UMBE R A MOUNT DE
1192 4343004 1179.72 BREWER HOTEL
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
4
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
.7Z_
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
J IN SUM OF
11�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
20 G
,Sig ture,
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund