175096 07/22/2009 -�c• CITY OF CARMEL, INDIANA VENDOR: 00352392 Page 1 of 1
ONE CIVIC SQUARE RECALL TOTAL INFORMATION CHECK AMOUNT: $243.08
i. CARMEL, INDIANA 46032 015295 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 175096
CHECK DATE: 7/22/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4350900 2070192404 243.08 OTHER CONT SERVICES
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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
Recail Total Information Mgt Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06126109 2070192404 Data rEntry Fee, Sturage DLT/1 Cartridge, $243.08
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 N00 /�_?0/ WABRANT NO.
9 ALLOWED 20
0".5295 0 eC ions C enter Drive IN SUM OF
Chicago, IL 60693
$243.08
ON AccouNb A ERAL FUNDN FOR
1202 Information Systems
Board Members
PO# or D PT. INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
1202 207019240 509 243.0 &ill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund