HomeMy WebLinkAbout212293 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366500 Page 1 of 1
ONE CIVIC SQUARE RICHARD MCCOMB
CARMEL, INDIANA 46032 14076 SPRINGMILL PONDS CIRCLE CHECK AMOUNT: $756.00
CARMEL IN 46032 CHECK NUMBER: 212293
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 756 . 00 REFUND
Prescribed by State Board of Accounts
Form No.301(Re".'995) ACCOUNTS PAYABL V UCH R /
ro I G Q C CO1n.b
ADDRESS o71S
Invoice Date Invoice Number Item Amount
r-
7 00)
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
Mo. Day Yr. Signature Title
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. L/Z
Mo. Day Yr. f cer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
Favor Of
R, C" 'W 'ncCv
/ 674 SprIAjc �,11}1AP4,4Gir;
Ca r vy ZAI 9C-6 0.3
Total Amount of Voucher $
Deductions
SAO �
_ I
Amount of Warrant $ 7S 1p '00
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800.382-8702 325