HomeMy WebLinkAbout176176 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 363262 Page 1 of 1
ONE CIVIC SQUARE DANIEL CARRAWAY CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 4034 -B MONACO DRIVE
4 z6 INDIANAPOLIS IN 46220 CHECK NUMBER: 176176
CHECK DATE: 8/19/2009
D EPARTM ENT ACCOUNT PO NUMBER INVOICE NUMBER AMO UNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
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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
GL �'`J Cc ccJG1.� Purchase Order No.
Terms
_x7 i" d—P S Z V6 Z LD Date Due
r
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
LkJC 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
X03 t3 ®M a.G a •e_
A) ti«P 0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
U 1 3g9d ate 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