173780 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351343 Page 1 of 1
ONE CIVIC SQUARE HUGHIE COOPER CHECK AMOUNT: $65.00
s %o CARMEL, INDIANA 46032 air OSWEGO ROAD
CARMEL IN 46032 CHECK NUMBER: 173780
CHECK DATE: 6/24/2009
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 65.00 OTHER EXPENSES
Z:
Hughie Cooper
817 Oswego Road
Carmel In 46032
317- 844 -9166
Machine shafts and teflon bearing inserts for primary tank 5.
5 hours at $13.00an hour for a total of $65.00.
d 'd Hughie Cooper
16-0(7 Date
REUD JUN 1 6 2009
ti
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
rz
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
00351343
COOPER, HUGHIE Purchase Order No.
WASTEWATER Terms
Due Date 6/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/2009 062209 $65.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095852 WARRANT ALLOWED
00351343 IN SUM OF
COOPER, HUGHIE
WASTEWATER
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'I
IPO INV ACCT AMOUNT Audit Trail Cade
062209 01- 7362 -05 $65.00
Voucher Total $65.00
Cost distribution ledger classification if
claim paid under vehicle highway fund