HomeMy WebLinkAbout169448 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362622 Page 1 of 1
ONE CIVIC SQUARE JESSICA GUARDIOLA
t.
l CARMEL, INDIANA 46032 40ARROWAE DR CHECK AMOUNT: $100.00
APT A
CHECK NUMBER: 169448
CARMEL IN 46032
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
I
i t
I
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
5 j e 5$ r cc-,_ r -2 04-rd- r c� cL Purchase Order No.
U rro uJa
'Dr ALat Terms
Date Due
Invoice Invoice Description Amount
Date Number 11 (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
5.j 5S
t /4 IN SUM OF
,4./o v-r��4� Dr'.
t3 r n. ::r- `L 03 Z
ON ACCOUNT OF APPROPRIATION FOR
J A/
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
d 50a 99 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund