HomeMy WebLinkAbout216003 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
s 11 ONE CIVIC SQUARE DIANA CORDRAY
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $15.00
CARMEL IN 46033-9501 CHECK NUMBER: 216003
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340600 15 . 00 RECORDING FEES
PRESCRIBED BY STATE BOARD OF ACCOU T GENERAL FORM NO.352
RECEIPT
HAMILTON COUNTY AUDITOR 0781
FUND
NOBLESVILLE, IN, /� 7 20 L3
RECEIVED FROM � 1 �� $
THE SUM OF DOLLARS
Ioo
ON ACCOUNT OF
PAID BY: CASH ❑CHECK ❑m.o. AUTHORIZED SIGNATURE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
Paye q
f`4L Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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 $
1 ,
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund