210417 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350359 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS BUSINESS JOURNAL
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ONE CIVIC SQUARE CARMEL IN 46032
CARMEL IN 46032
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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 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))
05/02/12 Renewal Invoice $79.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
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IN SUM OF
41 E. Washington Street, Suite 200
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$79.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1160 Renewal Invoice 43- 552.00 $79.00
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
Thurserav, June 28, 2012
ayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund