HomeMy WebLinkAbout176544 08/20/2009 pw CITY OF CARMEL, INDIANA VENDOR: 355065 Page 1 of 1
ONE CIVIC SQUARE LON BROWN
CARMEL, INDIANA 46032 111 N RANGELINE ROAD CHECK AMOUNT: $12.04
CARMEL IN 46032
CHECK NUMBER: 176544
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CHECK DATE: 8/20/2009
D EPART M ENT ACCOUNT PO NUMBER INVOICE NUMBE AMO UNT DE SCRIPT ION T^
O1 5023990 12.04 WATER OVERPAYMENT REF
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER lit
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 units,
price per unit, etc.
Payee
OP6111
LON BROWN Purchase Order No.
110 N RANGE LINE RD
Terms
CARMEL, IN 46032
Due Date 8/13/2009
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/13/2009 0495942412 $12.04
Blank
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.
Date Officer
Voucher 092715 Warrant ALLOWED
OP6111 In SUM OF
LON BROWN
110 N RANGE LINE RD
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INV# ACCT# AMOUNT Audit Trail Code
0495942412 01- 4611 -00 $12.04 RECVG00003334
Voucher Total $12.04
Cost Distribution ledger clasification if
claim paid motor vehicle highway fund