176268 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 129401 Page 1 of 1
ONE CIVIC SQUARE MICHAEL HOLLIBAUGH
0 CHECK AMOUNT: $14.68
CARMEL, INDIANA 46032 CARMEL IN 46032
CHECK NUMBER: 176268
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
=1192 4355100 14.68 PROMOTIONAL FUNDS
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/06/09 coffee /water charrette $14.68
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 N
hael Hollibaugh ALLOWED 20
IN SUM OF
c/u One Civic Square
Carmel, IN 46032
$14.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 551.00 $14.68 1 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, August 17, 2009
irector, D
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund