HomeMy WebLinkAbout176155 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 363258 Page 1 of 1
ONE CIVIC SQUARE JULIA BROADDUS COFFMA I N CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 11302 HARTFORD LANE
FISHERS IN 46038 CHECK NUMBER: 176155
CHECK DATE: 8119/2009
DEPARTMENT ----------ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
NS
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm 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
Purchase Order No.
4-4,4 k,' Terms
�r 5hC r5 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total f
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accords
with IC 5 -11- 10-1.6.
nce
20
Clerk- Treasurer
VOUCHER NO. _WARRANT NO.
_OWED 20
�5 �y f 2..�r�,a,r.���� �r,-�-�yy��✓ IN SUM OF
13 D Z�
-T 4� d 3
ON ACCOUNT OF APPROPRIATION FOR Board Members
PO#
EP or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. hereby certify that the attached invoice(s), or
D 0 3ggU /o->J :)ill(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