HomeMy WebLinkAbout176607 09/01/2009 CITY OFCARMELINDIANA «Ewoon Page 1 of 1
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REMITTANCE ADVICE DETACH AND RETAIN FOR YOUR RECORDS
Hamilton County Recorder
Jennifer J Hayden
09/01/2009 10:39.20A Trans 000211900
Business Date: 09/01/2009 Rec By: FDS
2009052809 ENCROACHME 10:39:20A
Subtotal: $26.00
2009052810 ENCROACHME 10;39:20A
Subtotal: $26,00
2009052811 ENCROACHME 10:39:20A
Subtotal: $26.00
Receipt Total: $78.0U
Paid By Amount Ref
Check $78.00 0000006687
CITY OF CAMEL
Rcvd From: CITY OF CARMEL
HAVE A NICE DAY!
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
C Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund