167554 01/06/2009 CITY OF CARMEL, INDIANA VENDOR: 117775 Page 1 of 1
ONE CIVIC SQUARE H.J. SPIER CO, INC CHECK AMOUNT: $75.00
s CARMEL, INDIANA 46032 5750 CASTLE CREEK PARKWAY,SUITE 15
INDIANAPOLIS IN 46250 -4359 CHECK NUMBER: 167554
CHECK DATE: 1/6/2009
h P EPARTM EN T ACCOU PO NUMBER INVOICE NUMBER-- AMOU DESCRIPTION
1301 4347500 72651 75.00 GENERAL INSURANCE
a.
.n
Itm y Eff Date Trn Descripta on„ Amourit
INVOICE 72651
154553 01/01/09 NEW 09 -10 POB Brian Poindexter `15.00
Invoice Balance: 75.00
I
Please return the top portion with payment to H.J. Spier Co.
Thank you!
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
t; CITY OF CARMEL
1'
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.
0 44;(� Terms
jo/p'l 42 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
o
7d(, 5 d 7s dv
Total 7S OCR
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.
ALLOWED 20
IN SUM OF
/3 U
7S bU
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�30 l 9o?U5 4 17 bU 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
l 20
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund