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213944 10/23/2012 s CITY OF CARMEL, INDIANA VENDOR: 119898 Page 1 of 1 `;. ONE CIVIC SQUARE HAMILTON COUNTY RECORDER CARMEL, INDIANA 46032 HAMILTON COUNTY COURTHOUSE CHECK AMOUNT: $225.00 %moo' NOBLESVILLE IN 46060 CHECK NUMBER: 213944 roM c CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 610 225 . 00 OTHER EXPENSES VOUCHER # 122520 WARRANT # ALLOWED 119898 ' IN SUM OF $ HAMILTON COUNTY RECORDER HAMILTON COUNTY COURTHOUSE NOBLESVILLE, IN 46060 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 102212 06-1050-66 $33.00 Availability 102212 06-1052-06 $162.00 Availability 102212 06-1052-10 $30.00 Availability Voucher Total $225.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 119898 HAMILTON COUNTY RECORDER Purchase Order No. HAMILTON COUNTY COURTHOUSE Terms NOBLESVILLE, IN 46060 Due Date 10/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/17/201; 102212 $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 Date f, er