217661 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00350391 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY AUDITOR-FUND 37tHECK AMOUNT: $2,565.00
CARMEL, INDIANA 46032 ATTN.TERESA,AUDITOR'S OFFICE
roN`o. ONE HAMILTON COUNTY SQUARE STE 134 CHECK NUMBER: 217661
NOBLESVILLE IN 46060
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 DEC2012 810 . 00 2500 .2505 . 0000 .R502
101 5023990 NOV2012 1, 755 . 00 2500 . 2505 . 0000 .R502
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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.
Payee
l �,�/�/�i'�/✓ �Gi //�� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
G
L b
—ZW
Total
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
Z IN SUM OF $
ON ACC T UNT OF APPROPRIATION FOR
" .nom �S
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
® � N�✓Zc�l Z qoa5;i jc — bill(s) is (are) true and correct and that the
.C.ZvI ZZ3�t�io �(U materials or services itemized thereon for
which charge is made were ordered and
received except
20(
i ature
Cost distribution ledger classification if \-/Title
claim paid motor vehicle highway fund