220359 05/21/2013 ��. CITY OF CARMEL, INDIANA VENDOR: 366487 Page 1 of 1
ONE CIVIC SQUARE CLAUDIA HERNANDEZ-STENINGER
CARMEL, INDIANA 46032 12680 N BANDANNA WAY CHECK AMOUNT: $340.00
'r ORO VALLEY AZ 85755
CHECK NUMBER: 220359
CHECK DATE: 512112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 130731 340 . 00 EXTERNAL INSTRUCT FEE
INVOICE NO. 1 3.0 7 3 l
INVOICE
SOLD TO p � D T. SHIPPED VIA
ADDRESS f `.' g ` ADDRESS
CITY,STATE,ZIP
CAO"a- t" .� / CITbI A_ ZIP ��+� j I
CUSTOMER'S ORDER aff_ SALESPERSON' = TERMS:": : / F.O.B. 2 - DATE eG)'
w .
9 L
3 �c��
SCD8740
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))
130731 $340.00
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
Claudia Steninger
IN SUM OF $
12680 N. Bandanna Way
Oro Valley, AZ 85755
$340.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 I 130731 I 43-570.04 I $340.00 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
MAY 2 0 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund