HomeMy WebLinkAbout177731 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350185 Page 1 of 1
ONE CIVIC SQUARE BILL KEHL CHECK AMOUNT: $39.82
CARMEL, INDIANA 46032 8645 SOUTH STREET
FISHERS IN 46038 CHECK NUMBER: 177731
CHECK DATE: 9/29/2009
DEPAR A CCOUNT PO NUMBER IN VOICE NUMBE AM DESCRIPTI
851 5023990 REIMB 39.82 OTHER EXPENSES
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
a
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
wrn 29 7iln{A
0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund