168994 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: T362577 Page 1 of 1
ONE CIVIC SQUARE HDRA PREMIER.
CARMEL, INDIANA 46032 114 NORTH 1000 EAST CHECK AMOUNT: $166.37
ZIONSVILLE IN 46077 CHECK NUMBER: 168994
CHECK DATE: 2/17/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
602 5023990 .20909 166.37 OTHER EXPENSES
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
HDRA PREMIER
A PREMIER Purchase Order No.
114 NORTH 1000 EAST Terms
ZIONSVILLE, IN 46077 Due Date 2/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2009 20909 $166.37
y
D
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
Date Officer
VOUCHER 091033 WARRANT ALLOWED
HDRA PREMIER IN SUM OF
EO
A PREMIER
I 114 1 NORTH 1000 EAST
ZIONSVILLE, IN 46077
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
20909 05- 2350 -00 $166.37
Voucher Total $166.37
Cost distribution ledger classification if
claim paid under vehicle highway fund