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214103 10/23/2012 °ref CITY OF CARMEL, INDIANA VENDOR: 00350366 Page 1 of 1 0 ONE CIVIC SQUARE THE TIMES CHECK AMOUNT: $16.01 CARMEL, INDIANA 46032 641 WESTFIELD RD NOBLESVILLE IN 46060 CHECK NUMBER: 214103 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4345500 L17650 16 . 01 PUBLICATION OF LEGAL The Times Invoice 641 Westfield Rd. Noblesville, IN 46060 6 Date invoice# 10/5/12 L17650 CV RECEIVED OCT 1 1 2012 Bill To Dot'. City of Carmel - Dept of Community Services =` One Civic Square Carmel, IN 46032 ATTN: Adrienne Keeling Terms Rep Project Description Qty Rate Amount Ordinance Z-562-12 $16.01 $16.01 ran 10/5/12 I PLEASE INCLUDE THE INVOICE NUMBER (TOP RIGHT OF PAGE) ON YOUR CHECK WHEN MAKING A PAYMENT Subtotal $16.01 Total $16.01 Balance Due $16.01 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)) 10/05/12 L17650 Pub notice Z562-12 $16.01 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 The Times IN SUM OF $ 641 Westfield Road Noblesville, IN 46060 $16.01 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 I L17650 I 43-455.00 I $16.01 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 Fri , October 19 2012 Directo Title Cost distribution ledger classification if claim paid motor vehicle highway fund