213423 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 072950 Page 1 of 1
ONE CIVIC SQUARE DAY TIMERS INC.
CARMEL, INDIANA 46032 PO BOX 27013 CHECK AMOUNT: $37.99
* .?� LEHIGH VALLEY PA 18002-7001
CHECK NUMBER: 213423
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4230200 61107131 37 . 99 OFFICE SUPPLIES
ADAY-TIMER® Renewal Form p
for Diana Cordray
i.
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SHIP TO/BILL TO: KEY# 310767
INV# 61107131 CUST# 325-176-282
Diana Cordray
City of Carmel
City Treasure
1 Civic Sq
Carmel, IN 46032-7569
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■ ■
310767-37617
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))
, .
Total
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
l� IN SUM OF $
D1-3
J
ON ACCOUNT OF APPROPRIATION FOR
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
20
€ i
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund