174354 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00352767 Page 1 of 1
0 ONE CIVIC SQUARE WILLIAM HOHLT CHECK AMOUNT: $6.68
CARMEL, INDIANA 46032 C/O DOGS
Ci0 DOGS CHECK NUMBER: 174354
CHECK DATE: 7/8/2009
DEPAR TMENT ACCOUNT PO NUMBER INVOICE NUMBE AMO DESCRIP
1192 4351000 6.68 AUTO REPAIR MAINTEN
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Return ar iter~ i 3r ainal condition
ar.6 pacltagincL t, with in
days cf the pu :c1 -:r.s2 date to request a
refund. Return U iterin within the
warranty per;- -:sts for refunds
may be denied ;nas been used
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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))
06/24/09 Bulb for Escape Bill $6.68
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 NO.
William Hohlt ALLOWED 20
IN SUM OF
c /d'One Civic'Square
Carmel, IN 46032
$6.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 510.00 $6.68 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
Wednesday, July 01, 2009
V r)mrecep OCS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund