178557 10/27/2009 CITY OF CARMEL, INDIANA VENDOR: 358340 Page 1 of 2
ONE CIVIC SQUARE A T T LONG DISTANCE
CARMEL, INDIANA 46032 PO BOX 5017 CHECK AMOUNT: $1,777.94
CAROL STREAM IL 60197 -5017
CHECK NUMBER: 178557
CHECK DATE: 10/27/2009
DEPA ACCO PO NUMBER IN VOICE NUMBER AMOU DESCRIPTION
1110 4344000 3175712400 J 1,055.66 TELEPHONE LINE CHARGE
1115 4344000 3175712400 21.30 TELEPHONE LINE CHARGE
1120 4344000 317.5712400 580.48 TELEPHONE LINE CHARGE
1125 4344000' 3175712400 .59 TELEPHONE LINE CHARGE
1160 4344000 3175712400 16.09 TELEPHONE LINE CHARGE
1192 4344000 3175712400 25.51 TELEPHONE LINE CHARGE
1205 4344000 3175712400 19.58 TELEPHONE LINE CHARGE
1301 4344000 3175712400 2.97 TELEPHONE LINE CHARGE
1701 4344000 3175712400 4.31 TELEPHONE LINE CHARGE
209 4344000 3175712400 4.73 TELEPHONE LINE CHARGE
2200 4344000 3175712400 4.76 TELEPHONE LINE CHARGE
2201 4344000 3175712400 .22 TELEPHONE LINE CHARGE
601 5023990 3175712400 9.56 OTHER EXPENSES
CITY OF CARMEL, INDIANA VENDOR: 358340 Page 2 of 2
ONE CIVIC SQUARE A T T LONG DISTANCE
ro CARMEL, INDIANA 46032 PO Box 5017 CHECK AMOUNT: $1,777.94
CAROL STREAM IL 60197 -5017
CHECK NUMBER: 176557
CHECK DATE: 10127/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3175712400 19.48 OTHER EXPENSES
902 4344000 3175712400 5.20 TELEPHONE LINE CHARGE
911 4344000 3175712400 7.50 TELEPHONE LINE CHARGE
This is a summary of the ATT Long Distance billing for: 101112009
DEPARTMENT TOTAL
Administration $14.17
CCCC $21.30
Clerk Treasurer $4.31
Court $2.97
CRC $5.20
DOCS $25.51
Dr
Drugs Task Force $7.50
Engineering $4.76 V
Fire $580.48
Law $4.73
Mayor $16.09
MIS $5.41
Parks $0.59
Police 1,055.6W-
Sewer $11.45
Sewer Dist $0.25
Street $0.22,
Utilities $15.56
Water
LI73
Water Dist $0.05
Grand Total 1$1,777.94
Monday, October 19, 2009 Page 1 of 1
aw
Page: 1
CARMEL CITY OF ATTN JANET ARNONE Corporate ID: 1211568
31 1 STAVE NW Invoice BAN: 839002612
CARMEL IN 46032 -1715 Statement Date: 10/01/2009
Amount of Payments Adjustments Applied to 'Balance from Current TOTAL
Last Bill Applied Balance Due Previous Bill Charges Due AMOUNT
by 1111612009 DUE
1,766.17 0.00 0.00 1,766.17 1,777.94 3,544.11
Bill Summary For CARMEL CITY OF ATTN JANET ARNONE
Previous Charges and Credits
Amount of Last Bill 1,766.17
Payments Applied 0.00
Adjustments Applied to Balance Due
AT &T Long Distance 0.00
Total Adjustments Applied to Balance Due 0.00
"Balance from Previous Bill 1,766.17
Current Charges
AT &T Long Distance 1,777.94
Total Current Charges Due by 11/16/2009 1,777.94
Total Amount Due 3,544.11
`Balance from Previous Bill Detail
Past Due Amount Please Pay Immediately 0.01
Charges due by 10/16/09 1 ,766.16
Total Balance from Previous Bill 1,766.17
Helpful Numbers
For Billing Questions 1 -888- 270 -6565
For Repaii Service 1- 877 286 -0200
For Payment Arrangements 1 -888- 851 -1116
To Place an Orcler 1 -888- 270 -6565
at &t
Page: 2
aW
Page: 3
Corporate ID: 1211568
Invoice BAN: 839002612
Statement Date: 10/01/2009
Invoice Summary by AT &T Company
AT &T Long Distance Current Charges
Access and Data Services
Monthly Recurring Charges 1,330.00
One Time Charges 0.00
Credits and Adjustments 0.00
Call Charges 180.10
Charges to Account 0.00
Surcharges and Other Fees 214.66
Government Fees and Taxes 53.18
Total AT &T Long Distance Current Charges $1,777.94
aW
Page: 4
Corporate ID: 1211568
Invoice BAN: 839002612
Statement Date: 10/01/2009
Invoice Account Summary for All BANs
BAN: 839002612 (Invoice BAN) AT &T Long Distance Current Charges
CARMEL CITY OF ATTN JANET ARNONE Credits and Adjustments 0.00
Call Charges 180.04
Charges to Account 0.00
Surcharges and Other Fees 16.79
Government Fees and Taxes 0.00
Total for BAN: 839002612 $196.83
BAN: 842142301 AT &T Long Distance Current Charges
CITY OF CARMEL Access and Data Services
Monthly Recurring Charges 1,330.00
One Time Charges 0.00
Credits and Adjustments 0.00
Charges to Account 0.00
Surcharges and Other Fees 197.86
Government Fees and Taxes 53.18
Total for BAN: 842142301 $1,581.04
BAN: 842142298 AT &T Long Distance Current Charges
CITY OF CARMEL Credits and Adjustments 0.00
Call Charges 0.06
Charges to Account 0.00
Surcharges and Other Fees 0.01
Government Fees and Taxes 0.00
Total for BAN: 842142298 $0.07
8798.001.000005.03.55.0000000 NNNNNNNY 295.295
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
s
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.
JJ Payee
5 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
,cR NO. WARRANT NO.
ALLOWED 20
IN SUM OF
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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VO4HER NO. WARRANT NO.
ALLOWED 20
AT T Long Distance
IN SUM OF
P.O. Box 5017
Carol Stream, IL 60197 -5017
$25.51
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 43- 440.00 $25.51 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
l
Mon y, Oct r 26, 2009
I
Direc DOCS
le
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Re .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))
10/01/09 Long Distance $25.51,
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
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
1 4 f 7 �U Purchase Order No.
Terms
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
D INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
V54# bo 7 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
101aJ1 20 Oq
i ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER 096634 WARRANT ALLOWED
356463 IN SUM OF
AT T LONG DISTANCE
PO BOX 5017
Carol Stream, IL 60197 -5017
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P�n 5712262 01- 7360 -07 $7.78
51I 6 f.'56 z5
5 71 %2-0 0 1. 1
5
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
356463
AT T LONG DISTANCE Purchase Order No.
PO BOX 5017 Terms
Carol Stream, IL 60197 -5017 Due Date 10/22/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/2005 5712262 $7.78
i
I
hereby certify that the attached invoice(s), or bill(s) is (are) true and
.orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 093415 WARRANT ALLOWED
356463 IN SUM OF
AT T LONG DISTANCE e
VDALLAS, O BOX 660688 .r TX 75266 -0688
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5712255 01- 6360 -03 $1.73
571Z�s� o ►-�l�b� C OS
Voucher Total '"7
r i
Lost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
356463
AT T LONG DISTANCE Purchase Order No.
PO BOX 660688 Terms
DALLAS, TX 75266 -0688 Due Date 10/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/231200 5712255 $1.73
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
Date Officer
%0UCHER 093410 WARRANT ALLOWED
656463 IN SUM OF
AT T LONG DISTANCE
PO BOX 660688
DALLAS, TX 75266 -0688
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5712262 01- 6360 -08 $7.78
I j 1
Voucher Total $7.78
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER r�
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
356463
AT T LONG DISTANCE Purchase Order No.
PO BOX 660688 Terms
DALLAS, TX 75266 -0688 Due Date 10/22/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/2005 5712262 $7.78
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
D 4v3 /14.
Date Officer
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
AT &T
Purchase Order No.
P.O. Box 5017
Terms
Carol Stream, IL 60197 -5017
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
nla 10/01/09 Engineering Phones long distance $4.76
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
AT &T IN SUM OF
P.O. Box 5017
Carol Stream, IL 60197 -5017
$4.76
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
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
n/a 10/01/09 ENG 4344000 4.76 materials or services itemized thereon for
which charge is made were ordered and
received except
102 �0 20
2� 2
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
10/26/09 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
AT &T Long Distance Purchase Order No.
P. 0. Box 5017 Terms
Carol Stream IL 60197 -5017 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/1/09 Stmt Mayor's office long distance $16.09
Total $16.09
1 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.
10 /x /09 ALLOWED 20
ATT Long Distance IN SUM OF
P. 0. Box 5017
Carol Stream, IL 60197 -5017
16.09
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4344000
Telephone line charges
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Stmt 4344000 $16.09 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
Co 20 Of
i �Sign ure—
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
V OUCHER NO. WARRANT NO.
ALLOWED 20
A T T Long Distance
IN SUM OF
P. O. Box 5017
Carol Stream, IL 60197 -5017
$0.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 43- 440.00 $0.22 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
Thur d y, 9M I er 22, 2009
Street Commiss o r
t OTgissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/01/09 $0.22
1 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
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
11T Purchase Order No.
Terms
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
['o
i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice {s or
)?-0 -5 bill(s) is (are) true and correct and that the
12 `k5 q4o materials or services itemized thereon for
which charge is made were ordered and
received except
i
20
r
*,nat4re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
C!P
t d--,I Purchase Order No.
/y L .J 7 Terms
L A,nx Jd 06/9 7 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
ON ACCOUNT OF APPROPRIATION FOR
&aJ-
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
2�(DF
at
T-U �r
Cost distribution ledger classification if Tile
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 291 (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
AT T Long Distance Purchase Order No.
P.O. Box 5017 Terms
Carol Stream, TL 60197 -5017 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/21/09 monthl payment 1,055.66
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
AT�& T Long Distance IN SUM OF
P.O. Box 5017
Carol Stream, IL 60197 -5017
1,055.667
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 440 1,055 .66 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
October 22 20 09
Signature
Assistant Chief of Poli
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
AT &T Long Distance
Purchase Order No.
P. O. Box 5017
Terms
Carol Stream, IL 60197 -5017
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10 -23 -09 Telephone Long Distance Charges per the attached $4.73
Statement 10/1/2009
Total
1 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
AT&T I QNG DISTANCE IN SUM OF
P.O. Box 5017
Carol Stream, IL 60197 -5017
$4.73
ON ACCOUNT OF APPROPRIATION FOR
DEFERRAL FEE FUND
430 -44000 Telephone Line Charges
Board Members
DE PT# INVOICE NO, ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
209 $4.73 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20 e9 p
nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemi ust s r
km
i s ervice,
uni ts, price per unit, ,dates service rendered, by
whom, rates per day, number of h rat r
Payee Purchase Order No.
Terms
358340 AT &T Long Distance Date Due
P.O. Box 5017
Carol Stream, IL 60197 -5017
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0.59
1011109 1211568 Long Distance charges
Total 0.59
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk Treasurer
Voucher No. Warrant No.
358340 AT &T Long Distance Allowed 20
P.O. Sox 5017
Carol Stream, IL 60197 -5017
In Sum of$
0.59
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 1211568 4344000 0.59 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
22 -Oct 2009
Signature
0.59 Accounts payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
VO UCHER N O. WARR NO.
ALLOWED 20
AT &T Long Distance
IN SUM OF
P.O. Box 660688
Dallas, TX 75266 -0688
$21.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 440.00 $21.30 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
Tuesday, October 20, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/01/09 I I I $21.30
1 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
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
Purchase Order No.
Terms
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
OCT 2 6 2009
20
ignature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
/L 6eG 5-,fg/7 Date Due
Invoice Invoice Description Amount
Date Number ll(or note attached invoice(s) or bill(s))
e
Total ZQ
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accbrdance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
11 ALLOWED 20
IN SUM OF
�yro� I
5_ �2 6
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
o 9 YYa ,5 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
5 ,206
Si ature
Dire n of Q;?erations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund