HomeMy WebLinkAbout177639 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 357338 Page 1 of 1
ONE CIVIC SQUARE CHRISTOPHER ELLISON
CARMEL, INDIANA 46032 140 MAXWELL ROAD CHECK AMOUNT: $22.08
INDIANAPOLIS IN 46217
CHECK NUMBER: 177639
CHECK DATE: 912.912009
DEPARTMEN -f ACCOUNT PO N UMBER INVOICE N AMO UNT DESCRIPTION
851 5023990 22.08 OTHER EXPENSES
DOUGHNUT
IWOECE ORDER
LONG'5 BAKERY, INC. OR 3 R oy
2300 W. 16TH 632 -3741 TIME
2301 E. SOUTHPORT RD. 783' -1442 DATE
CO. NAME
CUST NAME I o Aj
PHONE 7
TICKETS CLERK
QUANTITY DESCRIPTION PRICE
cZ
fi
SUB TOTAL:
-2 Lo
DEPOSIT;
DAY
DATE d BAL. DUE:
TIME
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. N I hereby certify that the attached invoice(s), or
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
1
r
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund