167713 01/07/2009 VENDOR: 358404
CITY OF CARMEL, INDIANA Page of 1
ONE CIVIC SQUARE WELLS FARGO BANK
CHECK AMOUNT: $400.00
CARMEL, INDIANA 46032 WF 8113
P0 80X 1450 CHECK NUMBER: 167713
MINNEAPOLIS MN 55485 -8113
CHECK DATE: 1!712009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 469538 400.00 OTHER CONT SERVICES
Please retain this portion foryour records
j Account Number: CARMGOLF1206
Carmel Red Dist Golf Course BAN 2006
Administration Charges For the Period 12/22/2008 thru 12/21/2009
Paying Agent Fee $400.00
Total Amount Due: $400.00
Billings past due are subject to an 18% annual finance charge of the balance due.
Please address questions to John Alexander Phone (317)977 -1160 Email John .D.Ale-rannderGwellsfargo.conn Page 1 (469538)
Prescrib -_d 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 (o n note attached invoice(s) or bill(s))
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
X13 IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
thnq!533 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund