214106 10/23/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 366655 Page 1 of 1
0 ONE CIVIC SQUARE SCOTT TRAMMELL CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 9576 FRONTIER ST
FISHERS IN 46038 CHECK NUMBER: 214106
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100 . 00 OTHER EXPENSES
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.7995)
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.
cc Payee /
o�GQ ��C-h'►rl'1�-� 1 Purchase Order No.
S -f-reef Terms
e—/`5 -& 4/6d3�' Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 0/ —
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 $
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ON ACCOUNT OF APPROPRIATION FOR
to
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Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
/ SOZ3 90 d fl — 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
ot�&_ 0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund