170213 03/31/2009 CITY OF CARMEL, INDIANA VENDOR: 358340 Page 1 of 2
ONE CIVIC SQUARE A T T LONG DISTANCE CHECK AMOUNT: $1,703.91
CARMEL, INDIANA 46032 PO BOX 5017
4 0 cc. CAROL STREAM IL 60197 -5017 CHECK NUMBER: 170213
CHECK DATE: 3/3112009
C.EPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1110 4344000 839002612 -6 1,106.15 TELEPHONE LINE CHARGE
1115 4344000 839002612 -6 14.96 TELEPHONE LINE CHARGE
1120 4344000 839002612 -6 478.44 TELEPHONE LINE CHARGE
1125 4344000 839002612 -6 .79 TELEPHONE LINE CHARGE
1160 4344000 839002612 -6 11.93 TELEPHONE LINE CHARGE
1180 4344000 839002612 -6 3.59 TELEPHONE LINE CHARGE
1192 4344000 839002612 -6 19.59 TELEPHONE LINE CHARGE
1205 4344000 839002612 -6 19.09 TELEPHONE LINE CHARGE
1301 4344000 839002612 -6 3.22 TELEPHONE LINE CHARGE
1701 4344000 839002612 -6 4.09 TELEPHONE LINE CHARGE
2200 4344000 839002612 -6 6.19 TELEPHONE LINE CHARGE
601 5023990 839002612 -6 7.64 OTHER EXPENSES
651 5023990 839002612 -6 20.40 OTHER EXPENSES
CITY OF CARMEL, INDIANA VENDOR: 358340 Page 2 of 2
ONE CIVIC SQUARE A T T LONG DISTANCE
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,703.91
PO BOX 5017
on CAROL STREAM IL 60197 -5017 CHECK NUMBER: 170213
CHECK DATE: 3/31/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4344000 839002612 -6 3.30 TELEPHONE LINE CHARGE
911 4344000 839002612 -6 4.53 TELEPHONE LINE CHARGE
I
This is a summary of the ATT Long Distance billing for: 31112009
DEPARTMENT TOTAL
Administration $14.15'x'
CCCC $14.8
Clerk Treasurer $4.09
Court $3.22
CRC $3.30
DOCS $19.59
Drugs Task Force $4.53
Engineering $6.19"
Fire $478.44
Law $3.59
Mayor $11.93
MIS $4.94 V
Parks $0.79
Police 1,106.15 ,1
1
Sewer $15.07
Sewer Dist $0.32
Street $0.14
Utilities $10.02
Water $2.60 J V,
Grand Water Dist $0.03 V/
Grand Total $1,703 J l
Monday, March 16, 2009 Page 1 of l
x4
aW
Page; 1
CARMEL CITY OF ATTN JANET ARNONE Corporate ID: 1211568
31 1ST AVE NW Invoice BAN: 839002612
CARMEL IN 46032 -1715 Statement Date: 03/01/2009
Payments Current TOTAL
Amount of Adjustments Applied to *Balance from
Applied through Charges Due AMOUNT
Last Bill 02/10/2009 Balance Due Previous Bill by 04/15/2009 DUE
3,270.40 1,482.49CR 0.00 1,787.91 1,703.91 3,491.82
Bill Summary For CARMEL CITY OF ATTN JANET ARNONE
Previous Charges and Credits
Amount of Last Bill 3,270.40
Payments Applied through 02/10 /2009 See Account Summary (Invoice BAN) 1, 482.49CR
Adjustments Applied to Balance Due
AT &T Long Distance 0.00
Total Adjustments Applied to Balance Due 0.00
*Balance from 'Previous Bill 1,787.91
Current Charges
AT &T Long Distance 1,703.91
Total Current Charges Due by 04/15/2009 1,703.91
Total Amount Due 3,491.82
*Balance from Previous Bill Detail
Charges due by 03/18/09 1 7 87.91
Total Balance from Previous Bill 1,787.91
Helpful Numbers
For Billing Questions 1- 888 270 -6665
For Repair Service 1- 877 286 -0200
For Payment Arrangements 1 -888 -851 -1116
To Place an Order 1- 888- 270 -6565
31112009
This is your ATT long distance charges only, your line costs are on your SBC bill.
Department Phone Number Address Inter LD Intra LD Info Misc Total
Clerk Treasurer
571 -2410 #1 Civic Square $0.03 $0.00 $0.00 $0.00 $0.058
571 -2413 #1 Civic Square $0.00 $0.00 $0.00 $0.00 $0.028
571 -2414 #1 Civic Square $0.06 $0.00 $0.00 $0.00 $0.088
571 -2427 #1 Civic Square $0.44 $0.00 $0.00 $0.00 $0.468
571 -2428 #1 Civic Square $0.28 $0.00 $0.00 $0.00 $0.308
571 -2429 #1 Civic Square $0.00 $0.00 $0.00 $0.00 $0.028
571 -2430 #1 Civic Square $2.25 $0.00 $0.00 $0.00 $2.278
571 -2431 #1 Civic Square $0.00 $0.00 $0.00 $0.00 $0.028
571 -2480 #1 Civic Square $0.72 $0.00 $0.00 $0.00 $0.748
571 -2490 #1 Civic Square $0.00 $0.00 $0.00 $0.00 $0.028
571 -2628 #1 Civic Square $0.00 $0.00 $0.00 $0.00 $0.028
Summary for 'Departments. Department' Clerk Treasurer (11 detail records)
Sum $3.78 $0.00 $0.00 $O.00 $4.09
Remit To: AT &T Long Distance
P.O. Box 5017
Carol Stream, IL 60197 -5017
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5
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
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 highwa��nd
i
VOUCHER NO. WARRA NO.
ALLOWED 20
AT T Long Distance
IN SUM OF
P.O. Box 5017
Carol Stream, IL 60197 -5017
$570.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1192 43- 440.00 $550.46 1 hereby certify that the attached invoice(s), or
1192 43- 440.00 $19.59 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
Thurs y, Ma
r Qb 26, 2009
Director, CS
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))
03/01/09 Line charges $550.46
03/01/09 Long Distance Charges $19.59
I hereby certify that the attached Involce(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 660688
Dallas, TX 75266 -0688
$14.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 43- 440.00 $14.83 1 hereby certify that the attached invoice(s), or
bNl(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, March 17, 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))
03/01/09 I I $14.83
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
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))
n/a dated 03/01/09 Engineering Phones long distance
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. .1 IN SUM OF
P.O. Box 5017
Carol Stream, IL 60197 -5017
$6.19
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 3/1/09 ENG 4344000 $6.19 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
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
3/30/09 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))
3/1/09 stmt Long Distance charges February 2009 $11.93
Total 11.93
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.
/30/09
ALLOWED 20
-AT&T Long Distance
IN SUM OF
P. 0. Box 5017
Carol Stream IL 60197 -5017
11.93
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
S tmt 4344000 $11.93 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
Ciiu 3 a 20 y
I nature
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 Long Distance Purchase Order No.
P.O. BOX-75017 Terms
Carol Stream, IL 60197 -5017 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
monthly payment 1,106.15
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
A T.& T IN SUM OF
P.O. Box- -5017
Carol Stream, IL 60197 -5017
1.106.15
ON ACCOUNT OF APPROPRIATION FOR
p olice general fu
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 440 1,106.15 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
March 25 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 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.
,f Payee
Purchase Order No.
Q• SD! 7 Terms
j n szo� 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
0 6
(e6197-0 7
ON ACCOUNT OF APPROPRIATION FOR
l�ll{1�t 7(
Board Members
D INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
3 y q(2 3 .Z,7- bill(s) is (are) true and correct and that the
r materials or services itemized thereon for
which charge is made were ordered and
received except
20
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.
358340 AT &T Long Distance Terms
P.O. Box 5017 Date Due
Carol Stream, IL 60197 -5017
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
311109 1211568 Long Distance charges 0.79
Total 0.79
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
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
358340 AT &T Long Distance Allowed 20
P.O. Box 5017
Carol Stream, IL 60197 -5017
In Sum of$
0.79
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 1211568 4344000 0.79 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
25 -Mar 2009
Signature
0.79 Accounts payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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 7 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 53
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
vour uFQ NO. IN PIPANIT N lfl
ALLOWED 20
47 IN SUM OF
a 7
&W IL 6D/97X /7
S�
ON ACCOUNT OF APPROPRIATION FOR
e1 -'4d'9 q 7/ I Zjo/c a►oq -d
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
9 t `15 oti 1 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
3�a 4 20
I ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Piescribed 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.
A T &T Long Dist&MM
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/01/0 10011thly Service Admin $14.15
IVIVIlLiflyPhone eivice-IS $4.94
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 Pn NO.
ALLOWED 20
"P.O. Box 660688 IN SUM OF
Dallas, TX 752088
$19.09
ON ACCOUNT OF APPROPRIATION FOR
General Fund
1205 Administration
Board Members
PO# or INVOICE NO. ACCTtfMTLE AMOUNT ere certify that the attached invoices or
DEPT. i hereby Y Y invoice( s),
bill(s) is (are) true and correct and that the
It 205 440 $14.15 materials or services itemized thereon for
12Q5 3qnn96j9 AAQ QA
4 which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VQUCHER 095286 WARRANT ALLOWED
356463 IN SUM OF
AT T LONG DISTANCE
PO BOX 660688
DALLAS, TX 75266 -0688
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5712262 01- 7360 -08 $5.01
262q o1. 7 360. 32
5 712G2� 0 1.
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 660688 Terms
DALLAS, TX 75266 -0688 Due Date 3/24/2009
1�
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2009 5712262 $5.01
hereby certify that the attached invoice(s), or bili(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 091435 WARRANT ALLOWED
366463 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 -07 $5.01
Voucher Total $5.01
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 660688 Terms
DALLAS, TX 75266 -0688 Due Date 3/24/2009
Invoice Invoice Description
Date Dumber (or note attached invoice(s) or bill(s)) Amount
3/24/2009 5712262 $5.01
it
hereby certify that the attached invoice(s), or bill(s) is (are) true and
Drrect and I have audited same in accordance with IC 5- 11- 10 -1.6
3 /&-7
Date Officer
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT T Long Distance
IN SUM OF
P.O. Box 5017
Carol Stream, IL 60197 -5017
$478.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE. NO. ACCT /TITLE AMOUNT Board Members
1120 43- 440.00 $478.44 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
MAR 3 4 209
w
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
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))
Long Distance T1 $478.44
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
za
Clerk- Treasurer
VOUCHER 091360 WARRANT ALLOWED
356463 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
5712255 01- 6360 -03 $2.60
C Z>
4
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,l
price per unit, etc. f;
Payee tl
356463
AT T LONG DISTANCE Purchase Order No.
PO BOX 660688 Terms
DALLAS, TX 75266 -0688 Due Date 3/19/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2009 5712255 $2.60
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
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
if r an ��i s/9� Purchase Order No.
rd Terms
1L. 60/97 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 3 4: f?
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 �i
VOUCHER NO. WARRANT NO.
ALLOWED 20
A 7 6 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
�7�24% o �3y 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
�13b 2 06 '7
Ignature
LJtr
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund