173338 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00353214 Page 1 of 1
ONE CIVIC SQUARE DAN GRESKAMP
CARMEL, INDIANA 46032 C/O ENGINEERING CHECK AMOUNT: $15.63
CIO ENGINEERNG
CHECK NUMBER: 173338
CHECK DATE: 6/1012009
DEPARTMENT ACCOUNT P N UMBER INVOICE NUMBER A MOUNT DESCRIPTION
2200 4239099 15.63 OTHER MISCELLANOUS
CLUB MANAGER 111CHAEL KANTNICR
317 5 ET 1619
I ax and x'1, 4 '!.'l )585-93
tADIANA1 IN
05/29/09 07:08 7033 9168 012 1366
W MEMBER 10*1--it**lI'-m6147
THANK YOU
SHEILA J MUR!'%*r,'f BRC;XER
'0
l 1 6.
N1) 7 0.00
i ii .13Y
I I El I SOLD 1
TC# 6578 9649 '11 5600 8327
VIII i� ���I �i I�� i i� ��I� I i (�l
I,Vc:: VALI-111: V001:1 OPINION
WE WANT 'l 0 KNOW AROU fYO 0
(111 "d ir! It-v-
EXPERILINICETODAV A CI (M
Please complete Z, 5illvev ;A)Ow lod:iv', O'll. v140 al
htIw!Ivvvrii-surv san)e-,i,ar c -iii
IN RETURN FOR YOIA:I TIMF Y1-)U c0ml.l Ili clivi-
oklE OF rlvt: 4 :1 it, .:I Irow.111,11" f`.—W',
You �Iusl b". Ill OF �Itlal aild ;l hJul I wtittlel.1 r.l Ilw
United ;Ialol; I.) aillei. 14C. Imycha,,e rwcos.,avj In wilt
To ent witi�tiui jttjrc:tuit it ar— for oitit F i l l et v i .ii
w"w.ently St1rvOY.SaITItt;IuI,-c0m
Sweepti'lak4)!; period ands On ilie date st-to in 11
official rules. Survey must b.".. le4l—O will1in J"Wo wo
of lo�jay.
-alw-ta o, —i:A
de 11"I"11,011
prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev, 1995)
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
Dan Greskamp
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
05/29109 n/a Coffee for office $15.63
Total
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.
ALLOWED 20
Dan Gieskanip IN SUM OF
Engineering Department
$15.63
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
3 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
n to I QfK 20
Signature
C.
o
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund