173429 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 357005 Page 1 of 1
0 ONE CIVIC SQUARE DAVID LITTLEJOHN CHECK AMOUNT: $179.51
CARMEL, INDIANA 46032 4840 N. GUILFORD AVENUE
INDIANAPOLIS IN 46205 CHECK NUMBER: 173429
CHECK DATE: 6/10/2009
DEPA AC PO NU MBER INVOICE NUMBER AMOUNT D ESCRIPTION
854 5023990 179.51 OTHER EXPENSES
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Prescribed by State Board of Accounts w 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 (or note attached invoice(s) or bill(s))
05/15/09 bike to work day $179.51
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
David Littlejohn
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
$1
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
$179.51 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
Monday, June 08, 2009
Director, CS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund