HomeMy WebLinkAbout213083 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 361926 Page 1 of 1
ONE CIVIC SQUARE DOUG KIZER
s CHECK AMOUNT: $225.00
CARMEL, INDIANA 46032 13504E 131 ST
FISHERS IN 46037 CHECK NUMBER: 213083
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 225 . 00 EXTERNAL INSTRUCT FEE
Type �� U'e►'Lcz,
Quantity C!, )
Fee 2 2 s• v v
Total ��Sc O
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))
$225.00
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
VOUCHER NO. WARRANT NO.
--- ALLOWED 20
Doug Kizer
IN SUM OF $
13504 E. 131 st Street —---------- -
Fishers, IN 46037
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-570.04 I $225.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund