HomeMy WebLinkAbout210625 07/11/2012 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $10.00
CARMEL IN 46033 -9501 CHECK NUMBER: 210625
CHECK DATE: 7/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 10.00 TRANSFER FEES
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 352
RECEIPT 109472
HAMILTON COUNTY AUDITOR
Ifl.
FUND l
NOBLESVILLE, IN, I I 20
RECEIVED FROM r ord ra lv
THE SUM OF J DOLLARS
ON ACCOUNT OF 100
PAID BY: I CAS H CHECK 11 M. 0. AUTHORIZED SIGNATURE
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.
M 1 Purchase Order No.
0 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�In�kn
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
10
ON ACCOUNT OF APPROPRIATION FOR
o 4-S
lam/
Board Members
PO# or
DEPT. INVOICE NO. ACCT #!TITLE AMOUNT 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
Ay A
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund