171926 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00352818 Page 1 of 1
Q ONE CIVIC SQUARE ROBERT LOVELL
CARMEL, INDIANA 46032 CARMEL UTILITIES CHECK AMOUNT: $25.00
CARMEL UTILITIES CHECK NUMBER: 171926
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER AM DESCRIPTION
60'1 e 5023990 25.00 REFUND
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHfL
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1042
LOVELL, ROBERT Purchase Order No.
CARMEL UTILITIES Terms
Due Date 4/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/23/2009 273656 $25.00
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
Date Officer
VOUCHER 091665 WARRANT ALLOWED
Tj 042 IN SUM OF
LOVELL, ROBERT`
CARMEL UTILITIES
0
R fx
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
273656 04=6330 =02 $25.00
Voucher Total $25.00
Cost distribution ledger classification if
claim paid under vehicle highway fund