210828 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 086700 Page 1 of 1
ONE CIVIC SQUARE HAL ESPEY
' CARMEL, INDIANA 46032 12030 CASTLE ROW OVERLOOK CHECK AMOUNT: $1,500.00
? CARMEL IN 46033
CHECK NUMBER: 210828
CHECK DATE: 7/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 1, 500 . 00 OTHER CONT SERVICES
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 invoices)or bill(s))
07/13/12 Quarterly payment $1,500.00
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
Hal Espey
IN SUM OF $
12030 Castle Row Overlook
Carmel, IN 46033
$1,500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I I 43-509.00 I $1,500.00 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
Friday, July 13, 2012
rector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund