HomeMy WebLinkAbout173737 06/24/2009 R CITY OF CARMEL, INDIANA VENDOR: 362997 Page 1 of 1
ONE CIVIC SQUARE COURTNEY BRAY
CARMEL, INDIANA 46032 6265 VALLEYVIEW DRIVE CHECK AMOUNT: $100.00
FISHERS IN 46038
b�r CHECK NUMBER: 173737
CHECK DATE: 6/24/2009
DEP ACCOUNT PO NUM INVOICE NUMBER T AMOUN DESCRIPTION
101 5023990 100.00 REFUND
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
n rG— Purchase Order No.
✓a Terms
F+she__r�, _Z 4 (.D3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ra
Total D
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
�o��rf r►��1 �/'CLU IN SUM OF
Y6 6 3g
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3996 s v 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
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
B r 6L- Purchase Order No.
5 VOL e- u-) ✓v Terms
��sti+✓r�, 4 (.D3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
rek
Total_/ D-fl
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
K1a -ss;�l �Cey
ICS s f� �rS i =A/ 6 0 3
/K
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5D?.3940 av 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