208252 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00353110 Page 1 of 1
ONE CIVIC SQUARE COWPOKES
sf CARMEL, INDIANA 46032 1812 E 53RD ST CHECK AMOUNT: $150.00
a ANDERSON IN 46013 CHECK NUMBER: 208252
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12535 150.00 OTHER EXPENSES
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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
00353110
COWPOKES (FORMERLY BUCKAROO) Purchase Order No.
27498 US 31 Terms
ARCADIA, IN 46030 Due Date 4/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/20/2012 12535 $150.00
I 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 icer
VOUCHER 117200 WARRANT ALLOWED
00353110 IN SUM OF
COWPOKES (FORMERLY BUCKAROO
1 iSr 2 E 53✓'d SI
ANd��lsoNsl[) �f 0 I�
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
12535 01- 7200 -01 $150.00
Voucher Total $150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund.