168073. 01/21/2009 CITY OF CARMFL, INDIANA VENDOR: 362437 Page 1 of 1
w` ONE CIVIC SQUARE JEMS
CARMEL, INDIANA 46032 PO BOX 17046 CHECK AMOUNT: $40A0
NORTH HOLLYWOOD CA 91615 CHECK NUMBER: 168073,
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4355200 40.00 SUBSCRIPTIONS
I
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1 A,,
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))
01/15/09 I I I $40.00
1 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
Jems
IN SUM OF
P.O. Box 1 ?049
North Hollywood, CA 91615
$40.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 552.00 $40.00 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
Thursday, January 15, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund