HomeMy WebLinkAbout178625 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 363536 Page 1 of 1
ONE CIVIC SQUARE MR OR MRS RYAN BENKER
CARMEL, INDIANA 46032 6010 SOUTH BAY DRIVE CHECK AMOUNT: $100.00
INDIANAPOLIS IN 46250
CHECK NUMBER: 178625
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 REFUND
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
mr gee_n f Purchase Order No.
D l D stD v fh .6 y r• Terms
S ]E/l1 tilb 2-5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
t
ALLOWED 20
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!Y? M r, v�--� �5�. r� .e
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
ben
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Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
Q
5D.2.3 "o 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
2
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund