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176192 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 361226 Page 1 of 1 ONE CIVIC SQUARE COOPERS STARDUST 4 CARMEL, INDIANA 46032 845 WESTFIELD ROAD CHECK AMOUNT: $108.75 *'r NOBLESVILLE IN 46062 CHECK NUMBER: 176192 CHECK DATE: 811912009 DEPART ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4343007 847872 108.75 FIELD TRIPS it ,1 c c, TV '10 MAY 2 e 244 7 7 2 845 Wesrfield Road, Noblesville,IN 46062 CUSTOMER'S ORDER NO. DEP 14T DA, =5 a a D 9 NAME ADDRESS CITY, STATE, Z SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE RETD PAID OUT lr n� QUANTITY DESCRIPTION PRICE AMOUNT 1 2 3 4 5 6 8 Yet II 10 11 ase 6 13 Description Y Es 14 r 15 16 Line escr 17 Purchaser 18 A ppmv ej 19 2 RECEIVED BY c KEEP THIS SLIP FOR REFERENCE 5805 I ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. 361226 Coopers Stardust Terms 845 Westfield Road Noblesville, IN 46062 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/20109 847872 Field trip 108.75 Total 108.75 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. 361226 Coopers Stardust Allowed 20 845 Westfield Road Noblesville, IN 46062 In Sum of 108.75 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1046 847872 4343007 108.75 1 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 13 -Aug 2009 Signature 108.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund