173422 06/10/2009 a CITY OF CARMEL, INDIANA VENDOR: 362946 Page 1 of 1
ONE CIVIC SQUARE JASON LEMONS
0 CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 ssos IVY COURT
KOKOMO IN 46902 CHECK NUMBER: 173422
CHECK DATE: 6/10/2009
DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUM BER AMOUNT DESCRIPTION
1120 4350900 250.00 GRANT WRITING
May 27, 2009
INVOICE: 101
Amount: $250.00
Attn: Administration Chief
This invoice is for Carmel Fire Department. For consulting services rendered in May
2009 (AFG). If you have questions, please contact me at (765) 776 -1032.
Send Payment to: Jason Lemons at 5606 Ivy Ct. Kokomo, IN. 46902
Sincerely
Jason Lemons
Grant Writer
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 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))
$250.00
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT N
ALLOWED 20
Jason Lemons
IN SUM OF
5606 Ivy Court
Kokomo, IN 46902
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 509.00 $250.00 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
JUN 8 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund