167955 01/21/2009 CITY OF CARMEL; INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $15.00
CARMEL IN 46033 -9501
CHECK NUMBER: 167955
CHECK DATE: 1/21/2009
DEPARTMENT i F ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 15.00 RECORDING FEES
Y:
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 352
RECEIPT 97951
HAMILTON COUNTY AUDITOR
3a3 �o -moo FUND
NOBLESVILLE, IN, aU 20 4 3 0
RECEIVED FROM
THE SUM OF OYM DOLLARS
100
ON ACCOUNT OF
G�
PAID BY: CASH CHECK M. 0. k j AUTHORIZED SIGNATURE
II
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 352
RECEIPT 97949
HAMILTON COUNTY AUDITOR
3 I- FUND
NOBLESVILLE, IN, 20
RECEIVED FROM J �l G nC, ;C7(�C`l G CS4
THE SUM OF 1 DOLLARS
100
ON ACCOUNT OF
PAID BY: k-ASH CHECK M. 0. AUTHORIZED SIGNATURE
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
4
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
Signatur67
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund