207067 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 365418 Page 1 of 1
ONE CIVIC SQUARE JASON GORDON
L CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 16102 SPRING MILL ROAD
WESTFIELD IN 46074 CHECK NUMBER: 207067
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 1023 300.00 OTHER CONT SERVICES
Jason Gordon �i'". by ®ICS
16102 Spring Mill Road 'Invoice Number: 1023
Westfield, IN 46074•.
317 731 -8573 Invoice Date: 02/26/12
Customer Information: City of Carmel
Order Information:
Case Product Description Amount Each Amount
201
Carmelview Cleared brush removal completed 02/26/12 300.00 300.00
Drive
Subtotal: 300.00
Tax:
Shipping:
Grand Total: 300.00
Notes:
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))
02/26/12 1023 201 Carmelview Drive brush removal $300.00
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. WA N
ALLOWED 20
Jason Gordon
IN SUM OF
16102 Spring Mill Road
Westfield, IN 46074
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 I 1023 I 43- 509.00 I $300.00'. 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
Monday, March 12, 2012
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund