173790 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363001 Page 1 of 1
ONE CIVIC SQUARE MARY DEARMIN
l► CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 573 ARBOR DAY
CARMEL IN 46032 CHECK NUMBER: 173790
CHECK DATE: 6124/2009
DE PART MEN T ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 J 100.00 OTHER EXPENSES
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1935)
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
M5 M ,0 V '5ca --tern n Purchase Order No.
5 73 f -?rbor ,Dt-.
Cy r- m e— _r J 4(. 0 3 Z Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
k e-n e l
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
73 ,1t -rho r r.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
D I 50.2 3 i d-v 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