221422 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 00352853 Page 1 of 1
ONE CIVIC SQUARE JIM BLANCHARD CHECK AMOUNT: $35.98
+o CARMEL, INDIANA 46032 C/O DOGS
CARMEL IN 46032 CHECK NUMBER: 221422
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4230200 35 . 98 OFFICE SUPPLIES
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))
06/27/13 $35.98
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
Jim Blanchard
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$35.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 42-302.00 $35.98
I hereby certify that the attached invoice(s), or
I I I
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
Friday, June 28, 2013
c
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund