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170896 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00351325 Page 1 of 1 ONE CIVIC SQUARE DAVID HUFFMAN CARMEL, INDIANA 46032 C/O STREET DEPARTMENT CHECK AMOUNT: $10.00 C/O STREET DEPARTMEN CHECK NUMBER: 170896 CHECK DATE: 4/16/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4231400 10'.00 GASOLINE n e s' R; 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)) 04/03/09 $10.00 i 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. ALLOW ED 20 Dave Huffman IN SUM OF $10.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 42- 314.00 $10.00 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 r, l jThursday, April'09; Street_Commiss.ioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund