HomeMy WebLinkAbout179575 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 022100 Page 1 of 1
ONE CIVIC SQUARE VICKI L. BAILEY
CARMEL, INDIANA 46032 1929 STATE ROAD 32 W. CHECK AMOUNT: $5.00
WESTFIELDIN 46074
CHECK NUMBER: 179575
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUM BER AMO DESCRIPTION
1110 4358300 5.00 OTHER FEES LICENSES
•e
GARY Z. BAILEY 09 -93 20- 7043 2457 7297
VICKI L. BAILEY 2740
1929 STATE ROAD 32 W 867 -0334 0033170101
i
WESTFIELD, IN 46074 Date
Pay to the $SOD
order of
1
M &I Marshall Ilsley Bank
I
Memo
1:274070439 00331100L01 07297
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
Vicki L. Bailey Purchase Order No.
1929 State road 32 W Terms
i
Westfield, IN 46074 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/13/OS reimburse Vicki Bailey for notary public fee
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. WAFDrRANT NO.
ALLOWED 20
V icki L Bailey IN SUM OF
1929 State Road 32 W
Westfield, IN 46074
5.00
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 583 5.00 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
November 18 20 09
Signature
Chi_f of Poli�a
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund