218553 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 353617 Page 1 of 1
ONE CIVIC SQUARE GARY MERRILL
*o CARMEL, INDIANA 46032 24880 SIX POINTS ROAD CHECK AMOUNT: $416.15
`:ate SHERIDAN IN 46069 CHECK NUMBER: 218553
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 722231 416 . 15 OTHER EXPENSES
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. keep this slip for reference DC5808UY
VOUCHER # 131107 WARRANT # ALLOWED
TGARY IN SUM OF $
GARY MERRILL
24880 SIX POINTS RD
SHERIDAN, IN 46069
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO # INV# ACCT# AMOUNT Audit Trail Code
722231 01-6200-06 $416.15
Voucher Total $416.15
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
TGARY
GARY MERRILL Purchase Order No.
24880 SIX POINTS RD Terms
SHERIDAN, IN 46069 Due Date 3/19/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2013 722231 $416.15
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 Officer