213662 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 366604 Page 1 of 1
ONE CIVIC SQUARE STEWART ANDERSON LLC
CARMEL, INDIANA 46032 PO BOX 374 CHECK AMOUNT: $4,317.00
CARMEL IN 46082-0374 CHECK NUMBER: 213662
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CHECK DATE: 1019/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 4, 317 . 00 REFUND
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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.
P yee
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
IN SUM OF $
�nq
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
L/317- 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
'A 0
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund