216728 01/29/2013 a .f CITY OF CARMEL, INDIANA VENDOR: 119898 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY RECORDER CHECK AMOUNT: $264.00
1 CARMEL, INDIANA 46032 HAMILTON COUNTY COURTHOUSE
+, + NOBLESVILLE IN 46060 CHECK NUMBER: 216728
CHECK DATE: 1/2912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
610 5023990 012813 264 . 00 OTHER EXPENSES
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 1/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2013 012813 $264.00
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
Date i c e r
VOUCHER # 123436 WARRANT # ALLOWED
119898 IN SUM OF $
HAMILTON COUNTY RECORDER
HAMILTON COUNTY COURTHOUSE
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0 0(V 012813 06-1052-06 $72.00
11 Availability
012813 06-1052-10 $192.00
Availability
Voucher Total $264.00
Cost distribution ledger classification if
claim paid under vehicle highway fund