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178745 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00351403 Page 1 of 1 ONE CIVIC SQUARE JEAN JUNKER I° CHECK AMOUNT: $9.98 CARMEL, INDIANA 46032 7615 MARY LANE o� INDIANAPOLIS IN 46217 CHECK NUMBER: 178745 CHECK DATE: 10/2812009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 9.98 REPAIR PARTS 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)) $9.98 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 Jean Junker IN SUM OF $9.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 42- 370.00 $9.98 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 OCT 2 6 2009 e Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund