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172362 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 357542 Page 1 of 1 0 ONE CIVIC SQUARE HOME CITY ICE CHECK AMOUNT: $72.80 CARMEL, INDIANA 46032 2000 DR MARTIN LUTHER KING JR ST INDPLS IN 46202 CHECK NUMBER: 172362 CHECK DATE: 5/13/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239040 965093122 72.80 FOOD BEVERAGES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Home City Ice Company Terms P.O. Box 111116 Cincinnati, OH 45211 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/17/09 965093122 Ice for concessions 20760 F 72.80 Total 72.80 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 1 20_ Clerk- Treasurer I Voucher No. Warrant No. Home City Ice Company Allowed 20 P.O. Box 111116 Cincinnati, OH 45211 In Sum of 72.80 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 965093122 4239040 72.80 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 7 -May 2009 Signature 72.80 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund