208520 04/26/2012 a CITY OF CARMEL, INDIANA VENDOR: k Page 1 of 1
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ONE CIVIC SQUARE
CARMEL, INDIANA 46032 CHECK AMOUNT: j0 j
CHECK NUMBER: 208520
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CHECK DATE:��/�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
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2012022608 EMCROACHME 10.05c26A
Subtotal: 124.00
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Receipt Total 1221 .0 0
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.Amount Ref
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.
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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
ON ACCOUNT OF APPROPRIATION FOR
M T?es
1-j 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
Signatdd
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund