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172082 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00352992 Page 'I of 1 ONE CIVIC SQUARE ULTIMATE CARWASH CHECK AMOUNT: $275.00 y a CARMEL, INDIANA 45032 431 E CARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 172082 CHECK DATE: 4/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION :1192 4351100 275.00 CAR CLEANING t Rk Jltirnate far mash f x p 431,E Carmel Drive 011y i r Er 4 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bili 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)) 04/16/09 Yearly Car Wash Book $275.00 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. Ultimate Car Wash ALLOWED 20 431 E. Carmel Drive IN SUM OF Carmel, IN 46032 $275.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members 1192 43- 511.00 $275.00 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 Fri ay, A ril 24, 2009 Dire r, DOC Title Cost distribution ledger classification if claim paid motor vehicle highway fund