HomeMy WebLinkAbout205384 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 365937 Page 1 of 1
ONE CIVIC SQUARE SULTAN NIAZI CHECK AMOUNT: $428.95
CARMEL, INDIANA 46032 14574 STONEGATE COURT
o _�o CARMEL IN 46032 CHECK NUMBER: 205384
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 428.95 REFUND
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
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ADDRESS TG
Invoice Date Invoice Number Item Amount
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I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
Mo. Day Yr. Officer Title
V oucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
Favor Of
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CA
e/( 03 Z
Total Amount of Voucher i
Deductions
Amount of Warrant g 7
Month of Yr
Acct.
VOUCHER RECORD No.
Source of Supply 7
Water Treatment$ e i� Transmission and Dist. t�t
Customer Accounts
Administrative and General
Operation-Maintenance y
Utility Plant in Service'
Constr. Work in Progress t
Materials and Supplies
F
Customers Deposits
d�
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800 -382 -8702 325