HomeMy WebLinkAbout171195 04/22/2009 CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE JOE CHIAPPETA
CARMEL, INDIANA 46032 6108 CLEARVIEW DRIVE CHECK AMOUNT; $1,800.00
CARMEL, IN 46033
CHECK NUMBER: 779995
r
CHECK DATE: 4/2212009
DEPARTME AC P NUMBE INVO NUMBER AMO D ESCRIPTION
501 5023990 1800.00 REFUND
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
To 00 if 1 rz d ,d�TTa
ADDRESS��D /�Ll !�//IPLtJ �f (�Gf T/f1vdZ
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
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.
r Title
Mo. Day Yr. e
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT,
NO,
CARMEL, INDIANA
Favor Of
/0 r elea I-- vt e A/ D,-
f" M e 0.3 3
Total Amount of Voucher 0
Deductions
Amount of Warrant 0 O
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
operation -Ma inte na nce
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325