209708 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 360420 Page 1 of 1
ONE CIVIC SQUARE DAVID ZELLLER CHECK AMOUNT: $210.00
CARMEL, INDIANA 46032 15128 ST RD 38E
NOBLESVILLE IN 46060 CHECK NUMBER: 209708
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 344944 210.00 OTHER MISCELLANOUS
Z &PtAr 344944
CUSTOMER'S ORDER NO. DATE F
NAME r7 y�'I�1 �I'{�
ADDRESS
CITY, STATE, ZIP 0' V A I c D .32-
SOLD BY CASH I C.O.D. CHARGE ON ACCT. MDSE. RETD. PAID OUT
QUAN. DESCRIPTION PRICE AMOUNT
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2
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RECEIVED BY
¢��8d 4705 KEEP THIS SLIP FOR REFERENCE
VOUCHER NO. WARRANT NO.
ALLOWED 20
David Zeller
IN SUM OF
15128 SR 38E
Noblesville, IN 46060
$210.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 344944 I 42- 390.99 I $210.00 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
JUN m4 2012
r
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))
344944 $210.00
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