HomeMy WebLinkAbout217017 02/12/2013 CITY OF CARMEL, INDIANA VENDOR: 366927 Page 1 of 1
ONE CIVIC SQUARE JENNY BURKE
CARMEL, INDIANA 46032 683 NEWBURY ST#1138 CHECK AMOUNT: $121.30
CARMEL IN 46032 CHECK NUMBER: 217017
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CHECK DATE: 2/1212013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 121 . 30 REFUND
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
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ADDRESS 0eptAut `sje �53Z-
Invoice Date Invoice Number Item Amount
J�_ri rl
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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
Mo. Day Yr. 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.
Mo. Day Yr. 1 fficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
Favor Of
43 P�d�r�-Al
6a r
Total Amount of Voucher $
Deductions
0 z Z,2 / O
Amount of Warrant $
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325