176271 08/19/2009 *f CITY OF CARMEL, INDIANA VENDOR: 00351325 Page 1 of 1
1 ONE CIVIC SQUARE DAVID HUFFMAN CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 C/0 STREET DEPARTMENT
C/0 STREET DEPARTMEN CHECK NUMBER: 176271
CHECK DATE: 8/19/2009
D EPARTMENT ACCOUN P O NUMBER IN VOICE NUMBER AMOUNT D ESCRIPTION
2201 4358300 30.00 OTHER FEES LICENSES
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))
08/10/09 $30.00
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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. WAR N O.
ALLOWED 20
Dave Huffman
IN SUM OF
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member:
2201 43- 583.00 $30.00 1 hereby certify that the attached invoice(s), or
i bill(s) is (are) true and correct and that the
materials or services itemized thereon for
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which charge is made were ordered and
9 received except
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund