HomeMy WebLinkAbout220402 05/21/2013 ., CITY OF CARMEL, INDIANA VENDOR: 360212 Page 1 of 1
ONE CIVIC SQUARE MATT WORTHLEY
' to CARMEL, INDIANA 46032 CHECK AMOUNT: $14.98
C/0 CRC
CHECK NUMBER: 220402
CHECK DATE: 5/2112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4239099 14 . 98 OTHER MISCELLANOUS
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5443 1 kO 9
ej a tpcj nij - [,Ire d k1,111)
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.
�1 ALLOWED 20
IN SUM OF $
$
RV
ON ACCOUNT OF APPROPRIATION FOR
%L/i23gU
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
S-2 - 20j)
Si ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund