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HomeMy WebLinkAbout212113 08/28/2012 �,\*f CITY OF CARMEL, INDIANA VENDOR: 365608 Page 1 of 1 1 � ONE CIVIC SQUARE DAN ALRED CARMEL, INDIANA 46032 2519 PLEASANT WAY W CHECK AMOUNT: $100.00 INDIANAPOLIS IN 46280 CHECK NUMBER: 212113 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 REIMB 100 . 00 OTHER EXPENSES 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 16�n /� / r Purchase Order No. )01'f_A.-5e-v1-7L lj_ c V b ) Zh�� `r, ` I =A1 4(,z a Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total p 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. nn ALLOWED 20 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR 6E/ - /Q e- u I'll Cz Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# 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 A4 A 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund