177245 09/15/2009 ,A CITY OF CARMEL, INDIANA VENDOR: 00351325 Page 1 of 1
ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $15.99
CARMEL, INDIANA 46032 CIO STREET DEPARTMENT
C/O STREET DEPARTMEN
CHECK NUMBER: 177245
CHECK DATE: 9/15/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4358300 15.99 OTHER FEES LICENSES
z.
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))
09/02/09 $15.99
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
VOUCHER NO. �WARNANT NO.
ALLOWED 20
Dave Huffman
IN SUM OF
$15.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
L C e n �CAoQ, 4- C'h'l b
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 43- 583.00 $15.99 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
jhur'sday, September '/10, 2009
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund