179243 11/11/2009 "e. CITY OF CARMEL, INDIANA VENDOR: 129401 Page 1 of 1
ONE CIVIC SQUARE MICHAEL HOLLIBAUGH CHECK AMOUNT: $11.99
CARMEL, INDIANA 46032 CARMEL IN 46032
CHECK NUMBER: 179243
CHECK DATE: 11111/2009
D EPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1192 4355100 11.99 PROMOTIONAL FUNDS
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
P
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/04/09 Coffee for meetings $11.99
1 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
VOUCHF,,R NO_ WARRANT NO.
ALLOWED 20
Michael Hollibaugh
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$11.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 551.00 $11.99 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
Monday, November 09, 2009
irector OCS
Ti
Cost distribution ledger classification if
claim paid motor vehicle highway fund