HomeMy WebLinkAbout168783 02/10/2009 CITY OF CARMEL, INDIANA VENDOR: `(�C��G�i Page 1 of 1
ONE CIVIC SQUARE CHECK AMOUNT: l 5tu
•is 0 a 'CARMEL, INDIANA 46032
CHECK NUMBER: 68783
CHECK DATE:
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
PRESCRI B' STATE BOARD OF ACCOUNTS GENERAL FORM NO. 352
RECEIPT
98136
HAMILTON COUNTY AUDITOR
3 13 �s FUND
NOBLESVILLE, IN, Q 20 oCk
RECEIVED FROM g
THE SUM OF DOLLARS
100
ON ACCOUNT OF
PAID BY: ❑CASH HECK 0 M.O. AUTHORIZED SIGNATURE
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.
4v_�' P/}a
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
J
Total
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�t) 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
20
Cost distribution ledger classification if f� YitIe
claim paid motor vehicle highway fund