205858 01/31/2012 \Mf CITY OF CARMEL, INDIANA VENDOR: 00350391 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY AUDITOR -FUND 37 CHECK AMOUNT: $4,860.00
CARMEL, INDIANA 46032 ATTN: TERESA, AUDITOR'S OFFICE
4 «0N io ONE HAMILTON COUNTY SQUARE STE 134 CHECK NUMBER: 205858
NOBLESVILLE IN 46060
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 4,860.00 DEFERRAL FUNDS
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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
Purchase Order No.
3-3 Terms
t�YOli 4 �/Y7G 7`'�0 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.
ALLOWED 20
IN SUM OF
File d 31
,3 91A a, &.Z I
��L 0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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 L 20
i na r
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund