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176029 08/18/2009 CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 2 ONE CIVIC SQUARE A T T CARMEL, INDIANA 46032 PO Box 6100 CHECK AMOUNT: $8,059.94 AURORA IL 60507 -8100 CHECK NUMBER: 176029 CHECK DATE: 8/18/2009 DEPARTMENT ACCOUN PO NUMBE INV N AMOU DES CRIPTION 1110 4344000 3175712400 1,639.56 TELEPHONE LINE CHARGE 1115 4344000 3175712400 981.09 TELEPHONE LINE CHARGE =1120 4344000 3175712400 1,325.06 TELEPHONE LINE CHARGE 1125 4344000 3175712400 107.56 TELEPHONE LINE CHARGE 1160 4344000 3175712400 257.97 TELEPHONE LINE CHARGE 1180 4344000 3175712400 174.72 TELEPHONE LINE CHARGE 1192 4344000 3175712400 555.13 TELEPHONE LINE CHARGE. 1205 4344000 3175712400 705.06 TELEPHONE LINE CHARGE 1301 4344000 3175712400 214.91 TELEPHONE LINE CHARGE 1'701 4344000 3175712400 209.53 TELEPHONE LINE CHARGE 2200 4344000 3175712400 278.16 TELEPHONE LINE CHARGE 2201 4344000 3175712400 50.45 TELEPHONE LINE CHARGE 601 5023990 3175712400 611.87 OTHER EXPENSES CITY OF CARMEL, INDIANA VENDOR: 359662 Page 2 of 2 ONE CIVIC SQUARE A T T CHECK AMOUNT: $8,059.94 CARMEL, INDIANA 46032 PO BOX 8100 AURORA IL 60507 -8100 CHECK NUMBER: 176029 CHECK DATE: 8/18/2009 DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 3175712400 505.91 OTHER EXPENSES 902 4344000 3175712400 262.41 TELEPHONE LINE CHARGE 911 4344000 3175712400 180.55 TELEPHONE LINE CHARGE This is a summary of the ATT billing for 81712009 Department Name Totals Administration $368.29 CCCC $981. Clerk Treasurer f$209.53 Court $214.91 CRC $262.41 DOGS $555.13 Drugs Task Force $180.55 Engineering $278.16 Fire $1,325.06 Law $174.72 Mayor $257.97 MIS $336.77 Parks $107.56 Police $1,639.56 Sewer $178.29 Sewer Dist $82.77/ Street $50.45 Utilities $489.70 Water $310.10 Water Dist $56.92 Total for the ATT Bill: $8,059.9 Wednesday, August 12, 2009 Page 1 of 1 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 y 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 r 1L �U J- t i AD Uq, c-53 ON ACCOUNT OF APPROPRIATION FOR ri --L A L AO jtk Board Members PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or Viv l �3 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 4 20 0 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 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)) 09 Monthly Local Phone Service Admin $368.29 Monthly Local Phone Service IS $336.77 Total 705.06 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 N& 7 /0 $VAR RANT NO. 9T ALLOWED 20 IN SUM OF Aurora, IL 60507 -8100 $705.06 ON ACCOUNT8ene FOR 1205 Administration Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1205 440 9 bill(s) is (are) true and correct and that the materials or services itemized thereon for 440 $33677 which charge is made were ordered and received except 20 Sign ure 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 t 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 $278.16 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. AV ALLOWED 20 ox 8100 IN SUM OF Aurora. 11 605 $278.16 ON A IflbFg TIOON FOR ngineering Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or n a 08/07/Og E\IG434 S272 1,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 1� 20 Qg Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund Vl v o 3 Q W (D n cn o (D a Q U) O 1 cD Q m CD O) Z p w C 3 O m o Or O v (D (D c 0 3 O n cr 'O c N =7 00 (D C 7 O (D (D 0 m C' `0 c 3 D n (D n CD CL m 3 n CITY OF CARMEL, INDIANA VENDOR: 359662 Page 1 of 2 ONE CIVIC SQUARE AT&T CHECK AMOUNT: $8,059.94 C7. CARMEL, INDIANA 46032 PO BOX 8100 AURORA IL 60507 -8100 CHECK NUMBER: 176029 CHECK DATE: 8/18/2009 DEPARTMENT ACCOUN PO NUMBE INVO N UMBER AMOUNT DESCRIPTION 1110 4344000 3175712400 1,639.56 TELEPHONE LINE CHARGE 1115 4344000 3175712400 981.09 TELEPHONE LINE CHARGE =1120 4344000 3175712400 1,325.06 TELEPHONE LINE CHARGE 1125 4344000 3175712400 107.56 TELEPHONE LINE CHARGE 1160 4344000 3175712400 257.97 TELEPHONE LINE CHARGE 1180 4344000 3175712400 174.72 TELEPHONE LINE CHARGE 1192 4344000 3175712400 555.13 TELEPHONE LINE CHARGE 1205 4344000 3175712400 705.06 TELEPHONE LINE CHARGE 1301 4344000 3175712400 214.91 TELEPHONE LINE CHARGE 1701 4344000 3175712400 209.53 TELEPHONE LINE CHARGE 2200 4344000 3175712400 278.16 TELEPHONE LINE CHARGE 2201 4344000 3175712400 50.45 TELEPHONE LINE CHARGE 601 5023990 3175712400 611.87 OTHER EXPENSES CD w l I I I I b r I VOUCHER NO. WARRANT NO. ATT ALLOWED 20 IN SUM OF P.O. Box 8100 Aurora, IL 60507 -8100 $555.13 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 43- 440.00 $555.13 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, August 17, 2009 A/ EVecto'r, DOC 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)) 8/14/09 monthly payment 1,639.56 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, IL 60507 -8100 1,639.56 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 1,639.56 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 August 14 20 09 1 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. �,I Payee Q .1 'l Purchase Order No. 0 /`��7`' S o o Terms JX 40 ,5� 7— x/ 0 0 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 Q IN SUM OF o 8Y o 0 �o 5 d 7 /od ON ACCOUNT OF APPROPRIATION FOR 1, Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 3 D /p 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 20 Ni �iltu e itle 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 a 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)) 08/07/09 I 317571240008 I I $981.10 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 VO UCHER NO. WARRANT NO. ALLOWED 20 AT &T IN SUM OF P.O. Box 8100 Aurora, IL 60507 -8100 $981.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 317571240008 43- 440.00 $981.10 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, August 14, 2009 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 8/7/09 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 13 -Aug 2009 PA"' Signature 107.56 Accounts Payable Coordinator 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 A T Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) x/7/09 710 Total SS 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 H 7 IN SUM OF G. �o5'v7- /a� lio. ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 9 o— 4 D 0. a5 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 99 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 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/07/09 $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 VOU N O. W 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 Member; 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 e T da ust 3, M VVV Stf�te���lt�4t»��f4L1er 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)) $1,325.06 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 VOU CHER NO. WARRANT NO. ALLOWED 20 AT &T IN SUM OF P.O. Box 8100 Aurora, IL 60507 -8100 $1,325.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 43- 440.00 $1,325.06 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 AUG t 1 l 1 Fire 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 8/17/09 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)) 8/7/09 3175712400 8 Land line phone bill Mayor's office 3257.97 Total 257.97 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. 8/17/09 ALLOWED 20 ATT IN SUM OF P. 0. Box 8100 Aurora IL 60507 -8100 257.97 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 31757124000 4344000 $257.97 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 1 7 20 02 L Signatur.p 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 359662 AT T 8100 Purchase Order No. l` PO BOX 8100 Terms AURORA, IL 60507 -8100 Due Date 8/14/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/14/2009 5712620 $178.29 iereby certify that the attached invoice(s), or bill(s) is (are) true and )rrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 096236 WARRANT ALLOWED 359662 IN SUM OF AT &T8100 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 $151.71 5712620 01- 736H -08 $26.58 S? 1� 62q 0 3 b o .ol '2( �.77 c)1.�3Go.o� f22.�f1 o �36o.og i22•`(j 'g5 A Voucher Total $1 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 359662 AT T 8100 Purchase Order No. �c PO BOX 8100 Terms 4 AURORA, IL 60507 Due Date 8/14/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/14/2009 5712262 $244.85 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 �Zt1l9 Date Officer y VOUCHER 092739 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 $122.43 r I I J Voucher Total $244.85 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 8/19/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/19/2009 5712633 $310.10 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 092746 WARRANT ALLOWED 359662 IN SUM OF AT &T8100 10AER PO BOX 8100 N AURORA, IL 60507 O Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 5712633 01- 6360 -03 $310.10 Voucher Total�7 O 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 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)) 08/18/09 Telephone line charges per the attached $174.72 Statement Total (Z17A 72 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 IN SUM OF P.O. Box 8100 A urora, Illinois 60507 8100 $174.72 ON ACCOUNT OF APPROPRIATION FOR DEFERRAL FEE FUND 430 -44000 Telephone Line Charges Board Members o' INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 209 .72 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 nature Cost distribution ledger classification if Title claim paid motor vehicle highway fund ,Prescribed,py 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 rT Purchase Order No. /v 0 0 d Terms Date Due Invoice Invoice Description Amount Date Numbe (or note attached invoice(s) or bill(s)) E ft 7 0 �j UL>r' S CE 2�2 Total Z 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 1 y ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify hat the attached invoices or DEPT. y y invoice s) y 3 �62,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 6Y 2 i� 200`! Signature le Cost distribution ledger classification if claim paid motor vehicle highway fund