HomeMy WebLinkAbout172460 05/13/2009 CITY.OF CARMEL, INDIANA VENDOR: 356217 Page 1 of 1
0 'I ONE CIVIC SQUARE MUSCULAR DYSTROPHY ASSOCIATIOI AMOUNT: $100.00
CARMEL, INDIANA 46032 ATTN:SUSAN J VALLOUGHBY
6777 PURDUE ROAD STE 336 CHECK NUMBER: 172460
INDIANAPOLIS IN 46268 -3121
CHECK DATE: 511312009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
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.
ayee
Purchase Order No.
g 7-7 7 X33 Terms
�2 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
53 71'7 5 he. 33�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
0
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund