173309 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362939 Page 1 of 1
ONE CIVIC SQUARE MR WILL ELLERY
e 5363 RIPPLING BROOK WAY CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032
w, _oN tai. CARMEL IN 46033 CHECK NUMBER: 173309
CHECK DATE: 6/10/2009
DEPARTMENT AC COUNT PO NUMBER INVOICE NU AMOUNT DE SCRIPTION
101 5023990 100.00 GAZEBO REFUND
i`
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
M Purchase Order No.
m Terms
-5 �2���/ 9 �3 rooK a J
CO. r-w► e--(. PAZ a S 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Zg -D �ahc� �e�c>d �f z>✓bI� �oi D-t�
-�7 -0
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
ME E IN SUM OF
�31p 3 n9 6r
ON ACCOUNT OF APPROPRIATION FOR
�Ge -C') 1 6 L Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
o-D 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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund