172676 05/26/2009 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 2
ONE CIVIC SQUARE A T T CHECK AMOUNT: $8,064.52
CARMEL, INDIANA 46032 PO BOX 8100
AURORA IL 60507-8100 CHECK NUMBER: 172676
CHECK DATE: 5/26/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4344000 3175712400 1,658.75 TELEPHONE LINE CHARGE
1115 4344000 3175712400 953.12 TELEPHONE LINE CHARGE
1120 4344000 3175712400 1,324.09 TELEPHONE LINE CHARGE
-1125 4344000 3175712400 107.48 TELEPHONE LINE CHARGE
1160 4344000 3175712400 260.18 TELEPHONE LINE CHARGE
,1192 4344000 3175712400 564.57 TELEPHONE LINE CHARGE
1205 4344000 3175712400 721.56 TELEPHONE LINE CHARGE
1301 4344000 3175712400 218.36 TELEPHONE LINE CHARGE
1701 4344000 3175712400 212.69 TELEPHONE LINE CHARGE
209 4344000. 3175712400 179.08 TELEPHONE LINE CHARGE
2200 4344000 3175712400 262.75 TELEPHONE LINE CHARGE
2201 4344-000 3175712400 •50.42 TELEPHONE LINE CHARGE
601 5023990 3175712400 611.43 OTHER EXPENSES,
CITY OF CARMEL, INDIANA VENDOR: 359662 Page 2 of 2
ONE CIVIC SQUARE A T T CHECK AMOUNT: $8,064.52
CARMEL, INDIANA 46032 PO BOX 8100
AURORA IL 60507 -8100 CHECK NUMBER: 172676
CHECK DATE: 5126/2009
DEP ARTMENT A CCOUNT PO NUMBER INVOICE NU MBER AMOUN DE SCRIPTION
651 5023990 3175712400 505.26 OTHER EXPENSES
902 4344000 3175712400 262.22 TELEPHONE LINE CHARGE
911 4344000 3175712400 152.56 TELEPHONE LINE CHARGE
This is a summary of the ATT billing for 51712009
Department Name Totals
Administration $372.79
CCCC $953.1
Clerk Treasurer 0
Court $218.36
CRC $262.22
D O C S $564.57
Drugs Task Force $152.56
Engineering $282.75
Fire $1,324.09
Law $179.08
Mayor $260.18
MIS $348.77
Parks $107.48
Police $1,658.75
Sewer $179.66
Sewer Dist $80.92
Street $50.42
Utilities $489.36
Water $309.86
Water Dist $56.89
Total for the ATT Bill: $8,064.5
Friday, May 15, 2009 Page I of I
BilI Date.: 517/2009
Phone Number LD Charge Misc Info Line Fees Totals
Clerk Treasurer
Location Code: AJ #1 Civic Square
571 -2410 $0.00 $0.00 $0.00 $15.723 $15.723
571 -2413 $0.00 $0.00 $0.00 $17.573 $17.573
571 -2414 $0.00 $0.00 $0.00 $17.573 $17.573
571 -2427 $0.00 $0.00 $0.00 $17.223 $17.223
571 -2428 $0.00 $0.00 $0.00 $17.223 $17.223
571 -2429 $0.00 $0.00 $0.00 $17.223 $17.223
571 -2430 $0.00 $0.00 $0.00 $17.573 $17.573
571 -2431 $0.00 $0.00 $0,00 $15.723 $15.723
571 -2480 $0.00 $0.00 $0.00 $15.723 $15.723
571 -2490 $0.00 $0.00 $0.00 $16.093 $16.093
571 -2628 $0.00 $0.00 $0.00 $17.223 $17.223
Voice Mail: $27.81
ATT Totals: $0.00 $0.00 $0.00 $184.87 $212.69
Remit To: ATT
P.O. Box 8100
Aurora, IL 60507 -8100
Friday, May 15, 2009 Page 5 of 28
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.
t Payee
T 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.
y ALLOWED 20
T IN SUM OF
ja
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
20
X
it A&A �p
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed ty State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
5/22/09 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
ATT Purchase Order No.
P. 0. Box 8100 Terms
Aurora IL 60507 -8100 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5115/09 Stmt Mayor's office land lines $260.18
Total 260.18
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.
5 J22/04 ALLOWED 20
ATT
IN SUM OF
P. 0. Box 8100
Aurora IL 60507 -8100
260.18
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 $260.1s 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
S -ZZ-. 20 U�
Sigma re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
VO NO. WARRANT NO.
ALLOWED 20
ATT
IN SUM OF
P.O. Box 8100
Aurora, IL 60507 -8100
$56
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 43- 440.00 $564.57 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
Friday, May 22, 2009
Di tor, DOCS
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))
05/07/09 Line Charges $564.57
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 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.
AT &T Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Monthly Local Phone Service Admin $372
ont ly Local Phone Service IS $348.77
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 N0 0 51 22 /0 WARRANT NO.
AT &T
ALLOWED 20
P.O Box 81 nn IN SUM OF
Aurora, IL 60 -8100
$721.56
ON ACCOUNT,31�1f FOR
1205 Administration
Board Members
PO# or
DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
205 440 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
440 348.77 which charge is made were ordered and
received except
20
el E
L,g re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
y CITY OF CARMEL
An invoice of 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
359662 AT &T
Date Due
P.O. Box 8100
Aurora, IL 60507 -8100
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
107.48
517109 57124000532 Line Charges
Total 107.48
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.
359662 AT &T Allowed 20
P.O. Box 8100
Aurora, IL 60507 -8100
In Sum of
107.48
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 57124000532 4344000 107.48 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
21 -May 2009
Signature
107.48 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts
Form Pi►i 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
Mo. Day Yr. Signature Title
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.
Mo, Day Yr. C1 er Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER A NO 7
NO.
CARMEL, INDIAN
Favor Of 0
Total Amount of Voucher
Deductions
5 y3
5 7 1 15
011 Le .s t, 0 b. 3
Amount of Warrant s 75
Month of Yr
Acct.
VOUCHER RECORD No.
Source of Supp
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
O eration- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
ROYCE FORMS SYSTEMS 1 -800- 382 -8702 325
VOUCHER 095679 WARRANT ALLOWED
359662 IN SUM OF
AT T 8100
PO BOX 8100
AURORA, IL 60507 -8100
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5712620 01- 7362 -05 $153.11
5712620 01- 736H -08 $26.55
"](�z�
aI.�S7(a2b2 d (f -7360,U7 .3v
l 22,
Voucher Total 66
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
359662
AT T 8100 Purchase Order No.
PO BOX 8100 Terms
AURORA, IL 60507 -8100 Due Date 5/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2009 5712620 $179.66
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 091902 WARRANT ALLOWED
359662 IN SUM OF
AT &T8100
PO BOX 8100
AURORA, IL 60507
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
u
Board members
PO INV ACCT AMOUNT Audit Trail Code
5712262 01- 6360 -07 $122.34
5712262 01- 6360 -08 $122.34
I�
Voucher Total $244.68
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
359662
AT T 8100 Purchase Order No.
PO BOX 8100 Terms
AURORA, IL 60507 Due Date 5/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2009 5712262 $244.68
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 NO. WARRANT NO.
ALLOWED 20
AT�T
IN SUM OF
P.O. Box 8100 f
Aurora, IL 60507 -8100
$1,324.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 43- 440.00 $1,324.09 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
MAY 2 2 2009
Eire Chief
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))
$1,324.09
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.
ATT Payee
Purchase Order No.
P. O. Box 8100
Terms
Aurora, Illinois 60507 -8100
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/20/09 Telephone Line Charges per the attached $179.08
Statement
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
A T &T
IN SUM OF
P. O. Box 8100
Aurora, Illinois 60507 -8100
$179.08
ON ACCOUNT OF APPROPRIATION FOR
Deferral Fee Fund
430 -44000 Telephone Line Charges
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
209 79.08 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
200
n t re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT N
ALLOWED 20
AT&T
IN SUM OF
P.O. Box 8100
Aurora, IL 60507 -8100
$953.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 317571240005 43- 440.00 $953.12 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
Monday, May 18, 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))
05 /07/09 I 317571240005 I I $953.12
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
IN SUM OF
P. O. Box 8100
Aurora, IL 60507 -8100
$50.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 43- 440.00 $50.42 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
/T urs May 21, 2009
Streegt Commi si ner
Street C;nmmiscinnAr
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. p,
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/07/09 $50.42
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
Q :1 Purchase Order No.
�0. 00 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total a �Ca
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
SI 0 0
�Lutia -rte J X G 0 5 i 10 o
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/3..3Co 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
(n Ao4.
O v, to
Title
Cost distribution ledger classification if
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
AT &T
Purchase Order No.
P.O. Box 8100
Terms
!Aurora, IL 60507 -8100
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/01/09 Local phone lines Engineering $282.75
Total -S2,92 75
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 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 8100
Aurora, IL 60507 -8100
$282.75
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
POD 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 05/01/09 ENG 4344000 282.75 materials or services itemized thereon for
which charge is made were ordered and
received except
�Z2 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Presr�ib'ed 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
,4.7-,L
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
J.
ALLOWED 20
IN SUM OF
y c /DD
ON ACCOUNT OF APPROPRIATION FOR
A24e
Board Members
PO# EP T. INVOICE NO. ACCT #!TITLE AMOUNT
DEP 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
20b?
i nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PrescritlCd 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 8100 Terms
Aurora, IL 60507 -8100 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
monthly a ent 1,658.75
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
A T T
IN SUM OF
P.O. BOX 8100
Aurora, IL 60507 -8100
1,658.75
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 440 1,658.75 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
May 19 20 09
Signature
Chief of Police
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 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.
i
Payee
A T Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
14 13haf
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
y A i I IN SUM OF
moo, fox gloo
A,tro rca I L 4 b5b 7- f t U o
ON ACCOUNT OF APPROPRIATION FOR
qvz/ y3��a�e
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
U o2cs�� -S �3y tsisu a6a. a� 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
o 20 U
2
I nature
Direcyor of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund