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212731 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 241253 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH CARMEL, INDIANA 46032 C/O DOCS CHECK AMOUNT: $97.01 C/O DOCS CHECK NUMBER: 212731 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4342100 36 . 75 POSTAGE 1192 4343001 17 . 00 TRAVEL FEES & EXPENSE 1192 4355100 43 . 26 PROMOTIONAL FUNDS VOUCHER NO. WARRANT NO. Petty Cash ALLOWED 20 DOCS IN SUM OF $ One Civic Square Carmel, IN 46032 $97.01 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 43-551.00 $10.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1192 166322 43-551.00 $33.26 materials or services itemized thereon for 1192 10002014493086 43-421.00 $6.50 which charge is made were ordered and 1192 1000601446643 43-421.00 $30.25 received except 1192 87358473 43-430.01 $7.00 1192 43-430.01 $10.00 Monday, September 10, 2012 or Title Cost distribution ledger classification if claim paid motor vehicle highway fund ------------ - - -- 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)) 06/01/12 Intern goodby lunch $10.00 06/19/12 166322 IABO Breakfast Meeting $33.26 07/18/12 10002014493086 BZA Mailing $6.50 08/17/12 1000601446643 BZA Mailing $30.25 08/22/12 87358473 Parking $7.00 09/06/12 1 Gass- Nick Mishler $10.00 1 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