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219118 04/11/2013 CITY OF CARMEL, INDIANA VENDOR: 042595 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY SCHOOLS-FUEL PAYMENT l= 0 CARMEL INDIANA 46032 EDUCATION SERVICE CENTER CHECK AMOUNT: $132.19 , `rc 5201 E MAIN ST CHECK NUMBER: 219118 CARMEL IN 46033 CHECK DATE: 4/11/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 2013-21 132 . 19 GASOLINE-ADMIN Carmel Clay Schools 52O1E. Main Street ---- Invoice 2013-21 Carmel, Indiana 48O33 Data 2/1/2013 317-844-9961 Attn: GuaArdaio|o City ofCarmel Account#11 -AdnninatrationDept. Jim8pe|bUng P MUM February 2013 Quantity Cost Each Total Cost Fuel-T2 TOTAL $132.19 Please make checks Payable to: Comne|Clay Schools VOUCHER NO. WARRANT NO. Carmel Clay Schools ALLOWED 20 Educational Services Center- Sue Ardiaolo IN SUM OF $ 5201 E. 131st Street Carmel, IN 46033 $132.19 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 I 2013-21 I 42-314.00 $132.19 I 1 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, April 11, 2013 Director, Administration Title Cost distribution ledger classification if claim paid motor 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 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 Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/01/13 2013-21 $132.19 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