HomeMy WebLinkAbout213336 11/07/2012 °,. CITY OF CARMEL, INDIANA VENDOR. T362164 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE CHEMIST-PURDUE CHECK AMOUNT $45.00
y4�?o CARMEL, INDIANA 46032 175 SOUTH UNIVERSITY STREET
WEST LAFAYETTE IN 46907-2063 CHECK NUMBER: 214336
CHECK DATE. 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4358300 N35567 45 00 OTHER FEES & LICENSES
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))
10/26/12 I N35567 I Renewal License I $4500
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
20
Clerk-Treasurer
VOUCHER NO WARRANT NO
ALLOWED 20
Indiana State Chemist
Office of IN St Chemist, Purdue Univ IN SUM OF $
175S University Street
West Lafatette, IN 47907-2063
$4500
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO ACCT#/TITLE I AMOUNT Board Members
1207 I N35567 I 43-583 00 I $4500 1 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
Friday, October 26, 2012
Director, Brooksgie Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund