HomeMy WebLinkAbout171196 04/22/2009 f CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE FORREST OWEN CHECK AMOUNT: $575.00
CARMEL, INDIANA 46032 14501 BALDWIN LANE
or `o CARMEL, IN 46032 CHECK NUMBER: 171196
CHECK DATE: 4/22/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 575'.00 REFUND
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Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
ADDRESS f !CLl��f1� Z
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
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. 14�"
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANo.
CARMEL, INDIANA
Favor Of
�,vr►'es� Owen
/�a✓i.r Ln
e y
Total Amount of Voucher s
Deductions
Amount of Warrant 5 ao
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800- 382 -8702 325