175777 08/06/2009 R CITY OF CARMEL, INDIANA VENDOR: 363109 Page 1 of 1
9i ONE CIVIC SQUARE MICHAEL LEE
CARMEL, INDIANA 46032 CIO CRC CHECK AMOUNT: $9.95
CHECK NUMBER: 175777
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOU DESCRIPTION
902 4359003 298878 9.95 FESTIVAL /COMMUNITY EV
�4
Prescrl�d by State Board of Accounts City Form No. 201 (Rev, 1995)
j 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.
II Payee
L� e Purchase Order No.
01 d -Ah50h a r. Terms
Ls mA T ff_ Cl l!3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Q a d 50 50 9 1 1 5
Total 915
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
I
VOUCHER NO. WARRANT NO.
Y a
ALLOWED 20
i IN SUM OF
(I\r �re I T lV
91. 5
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
L� 43 516o j 1,9 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
0
Signature
9; —star of oluerations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund