174491 07/08/2009 CITY OF CARMEL., INDIANA VENDOR 363027 Page 1 of 1
ONE CIVIC SQUARE STEVE SCHOFIELD CHECK AMOUNT: $100.00
CARMEL, INDIANA 4 6032 TANN DRIVE
FISHERS N 4 038 CHECK NUMBER: 174491
CHECK DATE: 7/8/2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 n a
'Sfe -y'e- Purchase Order No.
89 Z h e- a- -e-.
Fj"s h e-r IJ 4 0 3 S' Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
An ue: r �a aT r n2. Zoo
Total o-7
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
/Y? r. 5 Mrs f e- 0 e- o IN SUM OF
892 -7—ner
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
biil(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund