HomeMy WebLinkAbout207833 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
0 ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $13.00
s,,ro CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE
CARMEL IN 46033 -9501 CHECK NUMBER: 207833
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 REIMB 13.00 OTHER MISCELLANOUS
ECEiPT 2032093
v tate Form 37384 (R 16 -01)
f eneral Form 352S
pproved by State Board of Accounts, 2001 r
Name of Unit, Agency, Board or Department
20 i
CASH CHECK MONEY ORDER 1
RECEIVED FROM C
THE SUM OF T �PTEE/� 0 100 DOLLARS
I. ON ACCOUNT OF f 1 4J�CIyd�i'L All* ys}f
AUTHORIZED SIGNATURE
STATE OF INDIANA
��6 ST4T�c
DEPARTMENT OF LOCAL GOVERNMENT FINANCE INDIANA GOVERNMENT CENTER NORTH
100 NoRTIi SENATE AVENUE N1058(B)
a I NDIANAPOLIS, IN 46204
PHONE (317) 232 -3777
FAX (317) 232 -8779
Is
March 29, 2012
Ms. Diana L. Cordray
City of Carmel
Clerk Treasurer
One Civic Square
Carmel. IN 46032
Dear Ms. Cordray,
I received your check dated March 29, 2012, check number 5127 for $13.00 for the City
and Town Budget Manual, and will put this in the mail this afternoon.
Thanks.
4 L/-t--
Linda Ebert
Administrative Assistant
Enclosure
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
lc� O rA G 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
0 IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
OVA
Board Members
I
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