HomeMy WebLinkAbout216318 01/15/2013CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
VENDOR: 358340
A T & T LONG DISTANCE
PO BOX 5017
CAROL STREAM IL 60197 -5017
Page 1 of 2
CHECK AMOUNT: $127.11
CHECK NUMBER: 216318
CHECK DATE: 1/15/2013
DEPARTMENT
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4344000
1115 4344000
1120 4344000
1160 4344000
1180 4344000
1192 4344000
1202 4344000
1203 4344000
1205 4344000
1301 4344000
1701 4344000
1801 4344000
2200 4344000
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
839002612 -6
42.22 TELEPHONE LINE CHARGE
2.10 TELEPHONE LINE CHARGE
13.21 TELEPHONE LINE CHARGE
1.35 TELEPHONE LINE CHARGE
3.58 TELEPHONE LINE CHARGE
12.58 TELEPHONE LINE CHARGE
14.07 TELEPHONE LINE CHARGE
.66 TELEPHONE LINE CHARGE
6.72 TELEPHONE LINE CHARGE
2.31 TELEPHONE LINE CHARGE
8.62 TELEPHONE LINE CHARGE
1.24 TELEPHONE LINE CHARGE
3.89 TELEPHONE LINE CHARGE
CITY OF CARMEL, INDIANA
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
VENDOR: 358340
A T & T LONG DISTANCE
PO BOX 5017
CAROL STREAM IL 60197 -5017
Page 2 of 2
CHECK AMOUNT: $127.11
CHECK NUMBER: 216318
CHECK DATE: 1/15/2013
DEPARTMENT
ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4344000
601 5023990
651 5023990
911 4344000
839002612 -6
839002612 -6
839002612 -6
839002612 -6
.05 TELEPHONE LINE CHARGE
3.57 OTHER EXPENSES
9.12 OTHER EXPENSES
1.82 TELEPHONE LINE CHARGE
I
c
This is a summary of the ATT Long Distance billing for:
1/1/2013
DEPARTMENT
Administration
CCCC
Clerk Treasurer
Community Relations
Court
CRC
DOCS
Drugs Task Force
Engineering
Fire
IS
Law
Mayor
Police
Sewer
Sewer Dist
Street
Utilities
Water
Water Dist
Grand Total
TOTAL
$6.72
$298- a, /a
$8.62
$0.66
$2.31
$1.24
$12.58
$1.82
$3.89
$13.21
$14.07
$3.58
$1.35
$42.22
$6.30
$0.08
$0.05
$5.48
$0.75
$0.08
/z 7, i/
Tuesday, January 08, 2013 Page 1 of 1
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
City Form No. 201 (Rev. 1995)
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
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
U0S—a5-1-0AA.c,c_
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.
J
POox 5a1 -1
0 S--i0A,vo IL 6607
ON ACCOUNT OF APPROPRIATION FOR
PO# or
DEPT. #
INVOICE NO.
ACCT #/TITLE
AMOUNT
ab
7D(
1
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
Signature
Title
VOUCHER NO. WARRANT NO.
AT & T
P.O. Box 8100
Aurora„ IL 60507 -8100
$42.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# / Dept.
1110
INVOICE NO.
ACCT #/TITLE
AMOUNT
43- 440.00 $42.22
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
Thursday, January 10, 2013
Chief of Police
Title
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
Date
01/01/13
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
monthly payment
$42.22
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
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) •
ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date
Invoice Number
Item
Amount
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
, 19
Signature Title
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.
19
Title
Voucher No Warrant No
ACCOUNTS PAYABLE
MUNICIPAL WATER DEPT.
CARMEL, INDIANA
i
P o go,c 50,7
c 46 I S i-Qegi4A 11- 40117
Total Amount of Voucher
Deductions
$71 2261-
$
a, 6360.07
2.
") y
Amount of Warrant $
Month of 19
VOUCHER RECORD
Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
\
s c.
p
Utility Plant in Service
Constr. Work in Pro.re. s
Materials and Supplies s" R _
,�
A. -•1."
`.
Customers Deposits ,
Total
Allowed
ra•-•/--
0
V
Board of Control
Filed
Official Title
BOYCE FORMS • SYSTEMS 1- 800 - 382 -8702 325
DETAILED ACCOUNTS
ACCT.
NO.
Prescribed by State Board of Accounts
Form No. 301 -S (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date
Invoice Number
Item
Amount
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
19
Signature Title
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.
19
Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE
SANITATION DEPARTMENT
CARMEL, INDIANA
RI- i L.an TrrsotfA.vce
Po 119- Coil
CAQo ( S f eeAm -11 `o Iq )
Total Amount of Voucher
Deductions
57( 22b i-
$
0.7360.08'
*2
7''
Amount of Warrant $
Month of 19
VOUCHER RECORD
Acct.
No.
Collection System
Operation
Plant
If_
Commercial (� `
i
c�
Undistributed
Undistributed
Construction
Depreciation Reserve
Stock Accounts - Merchandise
Total
Allowed
oq 0 (- Board Members
Filed 0
BOYCE FORMS • SYSTEMS 1- 800 - 382 -8702 325
DETAILED ACCOUNTS
ACCT.
NO.
VOUCHER # 126463 WARRANT # ALLOWED
356463 IN SUM OF$
AT & T LONG DISTANCE
PO BOX 5017
Carol Stream, IL 60197 -5017
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV # ACCT # AMOUNT Audit Trail Code
3175712634 01- 7362 -05 $6.30
.3r7 5`704,q 5 0 i --730 -03 .D`3
,33
Voucher Total
distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
City Form No. 201 (Rev 1995)
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
356463
AT & T LONG DISTANCE
PO BOX 5017
Carol Stream, IL 60197 -5017
Purchase Order No.
Terms
Due Date
12/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201; 3175712634 $6.30
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
//1///J
Date Officer
VOUCHER NO. WARRANT NO.
AT &T Long Distance
P.O. Box 5017
Carol Stream, IL 60197 -5017
$20.79
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# / Dept.
INVOICE NO.
ACCT # /TITLE
AMOUNT '
1205
01.01.13
43- 440.00
$14.07
1205
01.01.13
43- 440.00
$6.72
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED
IN SUM OF $
20
Board Members
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
Monday, January 14, 2013
Director, Administration
Title
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
City Form No. 201 (Rev. 1995)
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
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
01/01/13
01.01.13
IS
$14.07
01/01/13
01.01.13
Admin
$6.72
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
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
City Form No. 201 (Rev 1995)
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
ATT Long Distance
Purchase Order No.
POB 5017
Terms
Carol Stream, IL 60197 -5017
Date Due
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s)
Amount
1/1/2013
0
long distance charges
$ 3.89
Total
$ 3.89
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 NC WARRANT NO.
ATT Long Distance
POB 5017
Carol Stream, IL 60197 -5017
$ 3.89
ON ACCOUNT OF APPROPRIATION FOR
PO# or
DEPT#
0
INVOICE NO.
ACCT # /TITLE
AMOUNT
0
2200 - 4344000
3 89
Cost Distribution edger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
4. -7
1/14/2013
Signature
City Engineer
Title
VOUCHER NO. WARRANT NO.
AT & T
P.O. Box 8100
Aurora, IL 60507 -8100
$13.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# / Dept.
INVOICE NO.
ACCT #/TITLE
AMOUNT
1120
43- 440.00
$13.21
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
JAN 1 4 2013
Fire Chief
Title
prescribed by State Board of Accounts City Form No 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
Nhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
Long Distance
$13.21
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
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
City Form No. 201 (Rev. 1995)
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
A Tf F 10 h) d 1 S a11G e
Purchase Order No.
P. 1 VOX 56 17
Terms
(&rDl 5 +re &rn 6 0117 --SD /7
Date Due
,IL
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
1- I-13
1 [ 13
(Re Ion, lishhce II6Ac
,.2f
Total
12tk
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5- 11- 10 -1.6.
, 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
ATc ( Lon) did -Arr(C IN SUM OF $
P0. Qoy 5017
(&ro\ S4 rea m,Z L 0117 -5017
$ 1.2-4
ON ACCOUNT OF APPROPRIATION FOR
l01 /4Y1't 000
PO# or
DEPT. #
INVOICE NO.
ACCT #/TITLE
AMOUNT
1'114
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Board Members
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
- It4 2013
Signature
Executive Director
Title
Carmel Redevelopment Commission
VOUCHER NO. WARRANT NO.
AT &T Long Distance
P. O. Box 5017
Carol Stream, IL 60197 -5017
$0.66
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO# / Dept.
INVOICE NO.
ACCT #/TITLE
AMOUNT
1203
Statement
43- 440.00
$0.66
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
Friday, January 11, 2013
�Y GPI Community Relations
J Title
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
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
01/01/13
Statement
$0.66
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.
AT & T Long Distance
P.O. Box 5017
Carol Stream, IL 60197 -5017
$12.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# / Dept.
INVOICE NO.
ACCT #/TITLE
AMOUNT
1192
43- 440.00
$12.58
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
Friday, January 11, 2013
Title
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
Date
01/01/13
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
Monthly long distance
$12.58
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.
AT &T Long Distance
P.O. Box 5017
Carol Stream, IL 60197 -5017
$2.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# / Dept.
INVOICE NO.
ACCT #!TITLE
AMOUNT
1115
43- 440.00
$2.10
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
Thursday, January 10,E
irector
Title
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
Date
01/01/13
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
$2.10
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.
AT &T Long Distance
P. O. Box 5017
Carol Stream, IL 60197 -5017
$1.35
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# / Dept.
INVOICE NO.
ACCT #!TITLE
AMOUNT
1160
Statement
43- 440.00
$1.35
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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, January 11, 2013
onha\C n�
Mayor
Title
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
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
01/01/13
Statement
$1.35
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.
AT & T Long Distance
P.O. Box 5017
Carol Stream, IL 60197 -5017
$1.82
ON ACCOUNT OF APPROPRIATION FOR
Project 2013 -911 Task 2013 -2
PO# / Dept.
INVOICE NO.
ACCT #/TITLE
AMOUNT
911
43- 440.00
$1.82
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
Friday, January 11, 2013
a
Major
Title
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
Date
01/01/13
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
$1.82
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 # 123332 WARRANT # ALLOWED
356463
AT & T LONG DISTANCE
PO BOX 660688
DALLAS, TX 75266 -0688
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
IN SUM OF $
Board members
PO # INV # ACCT # AMOUNT Audit Trail Code
5712253 01- 6360 -03 $0.08
57'aa5 )1 .15
Voucher Total a V 3 08
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
City Form No. 201 (Rev. 1995)
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
AT &T Long Distance
Purchase Order No.
P. 0. Box 5017
Terms
Carol Stream, IL 60197 -5017
Date Due
Invoice
Date
Invoice
Number
Description
(or note attached invoice(s) or bill(s))
Amount
1 -22 -13
Telephone Long Distance Charges per the attached
$3.58
Statement 1/1/2013
Total
$3.58
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.
AT &T LONG DISTANCE
P.O. Box 5017
Carol Stream, IL 60197 -5017
$ $3.58
ON ACCOUNT OF APPROPRIATION FOR
DEPARTMENT OF LAW 1180
430 -44000 Telephone Line Charges
_O;to;
DEPT. #
1180
INVOICE NO.
ACCT # /TITLE
AMOUNT
$3.58
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED 20
IN SUM OF $
Board Members
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
VOUCHER NO. WARRANT NO.
AT & T Long Distance
PO Box 5017
Carol Stream, IL 60197
$2.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel City Court
PO# / Dept.
INVOICE NO.
ACCT #/TITLE
AMOUNT
1301
01/01/13
43- 440.00
$2.31
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ALLOWED
IN SUM OF $
20
Board Members
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
2013
Judge
Title
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
Date Number
Description
(or note attached invoice(s) or bill(s))
Amount
01/01/13 01/01/13
$2.31
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