174883 07/22/2009 a- CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS CHECK AMOUNT: $49.50
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE
CARMEL IN 46033 CHECK NUMBER: 174883
CHECK DATE: 712212009
DEPA RTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
1.202 4343002 49.50 EXTERNAL TRATNTNG TRA
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Claim No Warrant No. 1 have examined the within claim and hereby
IN FAVOR OF certify as follows:
S That it is in proper form.
That it is duly authenticated as required
U" C, bylaw.
That it is based upon statutory authority
That it is apparently correct
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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
Pam Griffiths Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
UV1r_10iU;P Mileage $49.50
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 Ng7 NO.
P Qri fh
ALLOWED 20
IN SUM OF
$49.50
ON ACCOUfJ�e§ R FOR
1202 Information Systems
Board Members
D EFT
PO# or# INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
430 -02 $49.50 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
Si ure
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund