HomeMy WebLinkAbout174474 07/08/2009 c;. CITY OF CARMEL, INDIANA VENDOR: 363025 Page 1 of 1
�f ONE CIVIC SQUARE SUSANNAH QUANDT
CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 tszoe ROMAN couRr
9_ 'ary �o CARMEL IN 46032 CHECK NUMBER: 174474
CHECK DATE: 7/8/2009
DEPARTME A CCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
101 5023990. 100.00 GAZEBO REFUND
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
h 5 �USQn�a U� kA 4 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 -2,3 -D VX J v n
Total I
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
1 7 1 6 D .3 L
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n .5 99d 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund