177509 09/28/2009 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 2
ONE CIVIC SQUARE A T T CHECK AMOUNT: $8,026.44
CARMEL, INDIANA 46032 PO BOX 8100
AURORA IL 60507-8100 CHECK NUMBER: 177509
CHECK DATE: 9/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4344000 3175712400 1,645.41 TELEPHONE LINE CHARGE
1115 4344000 3175712400 943.71 TELEPHONE LINE CHARGE
1120 4344000 3175712400 1,325.03 TELEPHONE LINE CHARGE
1125 4344000 3175712400 107.56 TELEPHONE LINE CHARGE
1160 4344000 3175712400 256.18 TELEPHONE LINE CHARGE
1180 4344000 3175712400 176.46 TELEPHONE LINE CHARGE
1192 4344000 3175712400 555.11 TELEPHONE LINE CHARGE
1205 4344000 3175712400 705.04 TELEPHONE LINE CHARGE
1301 4344000 3175712400 214.90 TELEPHONE LINE CHARGE
1701 4344000 3175712400 209.52 TELEPHONE LINE CHARGE
2201 4344000 3175712400 328.60 TELEPHONE LINE CHARGE
601 5023990 3175712400 611.85 OTHER EXPENSES
651 5023990 3175712400 504.11 OTHER EXPENSES
«f CITY OF CARMEL,.INDIANA VENDOR: 359662 Page 2 of 2
ONE CIVIC SQUARE AT&T CHECK AMOUNT: $8,026.44
CARMEL, INDIANA 46032 PO BOX 8100
AURORA IL 60507 -8100 CHECK NUMBER: 177509
CHECK DATE: 9/28/2009
DEPAR ACCOUN PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTI ON
902 4344000 3175712400 262.41 TELEPHONE LINE CHARGE
911 4344000 3175712400 180.55 TELEPHONE LINE CHARGE
V
This is a summary of the ATT billing for 91712009
Department Name Totals
Administration $368.28
CCCC $943.73
Clerk Treasurer 209.52
Court $214.90
C RC $262.41
D o C S $555.11
Drugs Task Force $180.55
Engineering 278.15
Fire $1,325.03
L aw $176.46
M ayor $256.18
MIS $336.76
Parks $107.56
Police $1,645.41
Sewer 178.29
Sewer Dist $80.98
Street $50.45
Utilities $489.68
Water $310.09
Water Dist $56.92
Total for the ATT Bill: $8 ,026.44
Tuesday, September 15, 2009 Page I of I
ACCOUNTS PAYABLE VOUCHER
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.
359662 AT &T Terms
P.O. Box 8100 Date Due
Aurora, IL 60507 -8100
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/7/09 57124000532 Line Charges 107.56
Total 107.56
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
107.56
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 57124000532 4344000 107.56 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
24 -Sep 2009
Signature
107.56 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
y 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))
08 /07 /09 Local phone lines Engineering $278.15
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 81
Aurora, IL 60507 -8100
$278.15
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 09/07/09 ENG 4344000 278.15 materials or services itemized thereon for
which charge is made were ordered and
received except
9k2 20
�2- J,
Signature
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.
AT &T Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Month y Local Phone Service Admin $368.28
Month y Local Phone Service IS $336.76
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 N09L28/QaWARRANT NO.
ALLOWED 20
Box 8100 IN SUM OF
Aurora IL 60507- $1(}.0
$705.04
ON ACCOUNT OF APPROPRIATION FOR
General Fund
1205 Administration
Board Members
PO# or DEPT. INVOICE NO. ACCT #/TITLE 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
1205 440 $336.75 which charge is made were ordered and
received except
20
Signature��
y 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))
$1,325.03
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 8100
Aurora, IL 60507 -8100
$1,325.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 440.00 $1,325.03 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
SEP 2 9 2009
U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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
7� Purchase Order No.
o Terms
�CL L Co 'bS 07 -e 00 D Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total lec). SS
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.
f
ALLOWED 20
47 v T
p IN SUM OF
/00
/C. G�aso7 Fia�
l 0. S -5
ON ACCOUNT OF APPROPRIATION FOR
c l c oDtn 911 /coat o2oo -z
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Vclo 0D /,p D 55 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
i
9 l �S 20 0 q
NA-T Signature
o,�
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 995)
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))
09/15/09 Monthly line charges $555.11
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
ATE"
IN SUM OF
P.O. Box 8100
Aurora, IL 60507 -8100
$555.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 440.00 $555.11 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, September 28 2009
Y –r—ctor, D
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 19955
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 9/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2009 5712262 $244.84
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 093064 WARRANT ALLOWED
359662 IN SUM OF
AT &T8100
PO BOX 8100
AURORA, IL 60507
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5712262 01- 6360 -07 $122.42
5712262 01- 6360 -08 $122.42
Voucher Total $244.84
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 9/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2009 5712633 $310.09
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
Date Officer
VOUCHER 092995 WARRANT ALLOWED
3`9662 IN SUM OF
A &T8100 N
Pcjp BOX 8100 z
AURORA, IL 60507 O fi
lo se r
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5712633 01- 6360 -03 $310.09
571ZZ5�
i
Voucher Total I O.09
Clst distribution ledger classification if
Aim 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 9/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2009 5712620 $178.29
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
y/4
Date Officer
VOUCHER 096411 WARRANT ALLOWED
35,9662 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 $151.72
5712620 01- 736H -08 $26.57
s ?1�62q o �36a.o( �O.R�
1 22.41
01.�360.eg X21,42
Voucher Total �1 -782g
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribe:l by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
9/28/09 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))
9/15/09 Stmt Mayor's office land lines $256.18
Total $256.18
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.
9/28/09 ALLOWED 20
ATT IN SUM OF
P. 0. Box 8100
Aurora IL 60507 -8100
__256.18
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4344100
Telephone line charges
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Stmt 4344100 $256.18 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 D
Signatur
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.
/j. Payee
Purchase Order No.
Terms
Ll.44,4a4.a...�l/ D 5D'7 41 OU Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
o 40
Cr
Total go
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
0 aoo
a 419v
ON ACCOUNT OF APPROPRIATION FOR
t
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/59,00 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
Cost distribution ledger classification if
Title -O
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))
09/07/09 I I I $943.73
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
$943.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 440.00 $943.73 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, September 15, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
09/07/09 $50.45
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
V OUCHER NO. WA RRAN T NO.
ALLOWED 20
AT &T
IN SUM OF
P. O. Box 8100
Aurora, IL 60507 -8100
$50.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 43- 440.00 .$50.45 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
%Thursda Se ber 17, 2009
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prerribed 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
60SG —('/GG Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
51' G gU7O S r �O�p 5r�v /'r 2G2 •y/
Total 262 _r/
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
VOL, NO. WARRANT NO.
ALLOWED 20
err IN SUM OF
f'o ec 8 /GG
A lirvr� �G 5'O "7— �IGrJ
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�02 gc�o9 �YCt�p z62.y/ 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 O,
i
Signature
Director of Operations
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
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
VOUCHER NO. WARRANT NO.
I ALLOWED 20
k T S
IN SUM OF
Poqzx o�
DD
a�
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
Signatur
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
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))
9/22/09 monthlypayment 1,645.41
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.
f
ALLOWED 20
AT T
IN SUM OF
P. 0. Box
Aurora,
1,645.41
ON ACCOUNT OF APPROPRIATION FOR
police generla fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 440 1;645.41 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
September 22 20 09
Signature
Chief of Police
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
ATT
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))
09/24/09 Telephone line charges per the attached $176.46
Statement 9/7/2009
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 8100
Aurora, Illinois 60507 -8100
$176.46
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 $176.46 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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund