HomeMy WebLinkAbout208777 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366233 Page 1 of 1
ONE CIVIC SQUARE PATRICK KURRASCH
CARMEL, INDIANA 46032 2006 JASON DRIVE CHECK AMOUNT: $100.00
52 LEBANON IN 460
=a, CHECK NUMBER: 208777
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 GAZEBO REFUND
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
I
�GL �T GK 1 y r/- a S C- yl Purchase Order No.
oO (o Oki 1 C/ V_-_ Terms
J, C/O a� n t SA Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4 c z7 2, o
Total D
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
Al
�e -lc�Une4
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
D 3990 /off 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
f20
v
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund