171913 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1
ONE CIVIC SQUARE MICHELLE KRCMERY
0
CARMEL, INDIANA 46032 433 AUTUMN DRIVE CHECK AMOUNT: $106.65
CARMEL IN 46032 CHECK NUMBER: 171913
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBE IN VOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 106.65 HOLOCAUST CEREMONY
c4•
II
'11
ib E, 116 SFREEF
CA C"PiRMEL. IN 46032
(317)575 -3650
1 0
�603L
tl R' i 1
I File 2 29 F
-1 1. V lil
c 1 1)0 i N E: N§' is 40-T
i: 1: P.
P! As CU?
0 lill..'K C11 1: 11 HJ L �D 'i 9 1:
��5 'fYl Q�h t 5 Jt t n� i e PC I
5 S i '14 1 1 E 2 L I T R .2
8 1 5 0 C Li K E C L il S C 2 L 2
l
Iwt in e-o n
i
I
L L- 1i ij PC
i S 5 i 1 WN A TL ZERO 2
150
.2
C G K L. CL11SS1. 2 i 29-B
109.09
i X I 11H I oil
0C:
ail FIN
4t -i
Vf F L 111
00
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.
L
Payee r
cm Purchase Order No.
'A1 3 A vAL& mn 1 f 1 VPC— Terms
OA ,f me.l :J:t v 3'Z. Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 n t i I06,
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
�{�3 �L� n :Z)rI Vt
3 2
ON ACCOUNT OF APPROPRIATION FOR
M0,1 Or5- I i `90 03
Pcsb 0/
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
35�D 5 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
20c)
Sign_ t re
41-/
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund