220985 06/18/2013 1
CITY OF CARMEL, INDIANA VENDOR: 048098 Page 1 of 1
ONE CIVIC SQUARE CARMEL POSTMASTER
CARMEL, INDIANA 46032 CIO PAULA-DIST&COLLECT CHECK AMOUNT: $165.00
CIO PAULA-DIST&COL
<.o o CHECK NUMBER: 220985
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 165 . 00 OTHER EXPENSES
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
✓oice Date Invoice Number Item Amount
I
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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. ficer Title
;��. � ;' a ' a
VUu(Altll IVV. - - .-_-_
DETAILED ACCOUNTS
ACCOUNTS PAYABLE
MUNICIPAL WATER DEPT. ACCT.
NO.
g9p5c' CARMEL, INDIANA
Favor Of 1
Total Amount of Voucher $
Deductions
Amount of Warrant $ Les CD
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control i
I
Filed
Official Title
I
BOYCE FORMS-SYSTEMS 1-800-382-8702 325