169519 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362130 Page 1 of 1
ONE CIVIC SQUARE MICHAEL LUPER II
O I 1101STAVE NW CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 169519
CHECK DATE: 3/4/2009
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 25.00 OTHER EXPENSES
:I t
Tota I
25.00
Prescribed 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 of service rendered, by whom, rates per day, number of units, j
price per unit, etc. U
Payee
T2292
LUPER, MIKE Purchase Order No.
UTILITIES /DC Terms
Due Date 2/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/24/2009 22409 $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
A s /g c�-. n k
Date Officer
VOUCHER 091210 WARRANT ALLOWED
T2292 IN SUM OF
SUPER, MIKE
UTILITIES /DC
q' Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
22409 01- 6040 -05 $25.00
Voucher Total $25.00
Cost distribution ledger classification if
claim paid under vehicle highway fund