214314 11/07/2012 a CITY OF Gc,,A ;—L, INDIANA VENDOR: 117775 Page 1 of 1
Q� ONE CIVIC SQUARE H.J.SPIER CO,INC
CARMEL, INDIANA 46032 8250 WOODFIELD CROSSING SUITE 330 CHECK AMOUNT: $161.00
o� INDIANAPOLIS IN 46240 CHECK NUMBER: 214314
CHECK DATE: 11/712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4347500 86977 86 . 00 GENERAL INSURANCE
1301 4347500 86978 75 . 00 GENERAL INSURANCE
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INVOICE# 86977
197773 11109112 NEW 12-14 POB Klingerman $ 86. 00
Invoice Balance: $ 86.00
PLEASE MAKE CHECKS PAYABLE TO H. J SPIER CO. , INC.
THANK YOU !
www.hjspier.com
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�tr?�u'h_�'° � .�'� ��,a� �t 'C.,.r'� �a'�u�,`� _�..v w�aa���'�t P g� ��� �� '� �� �•- �q ri�� �+a� s.;r 'as+S �IROlIn}t,.r,� �
INVOICE# 86978
197774 01/01/13 REN 13-14 POB Poindexter $ 75 . 00
Invoice Balance: $ 75.00
PLEASE MAKE CHECKS PAYABLE TO H. J SPIER CO. , INC.
THANK YOU !
www.hispier.com
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
v
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I� � �q7� E � A-L (�F/•�.�/�� --��c .e o�Ni>cur� 7S-C3v
9-7 Me /�ccr/ / L/.vGm&A^j
Total /�(� 0-D
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
K9 �eo
Jr� Dp D r16T75 J�[G �1-%P� IN SUM OF $
ST c= 3 3o
$ & /, oy
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
J y 97 7 S bill(s) is (are) true and correct and that the
F6 917 7 S� • U0 materials or services itemized thereon for
which charge is made were ordered and
received except
201?
S' re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund