223297 08/15/2013 CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE CHECK AMOUNT: go,()()
CARMEL, INDIANA 46032
CHECK NUMBER: 223297
CHECK DATE: g�l�ll7j
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
Hamilton County Recorder
Mary L. Clark
08/15/2013 02:10:29P Trans #: 000524362
Business Uate: 08/15/2013 Rec By: LLP
2013053038 ORDINANCE 02:10:29P
Subtotal: 819.00
013053039 MISC 02:10:29P
Subtotal: 821.00
2013053040 MISC 02:10:29P
Subtotal: 821.00
2013053041 MISC 02:10:29P
Subtotal: 819.00
Receipt Total: 880.00
Paid By Amount Ref #
Check 880.00 0000003297
CITY OF CARMEL
Rcvd From: CITY OF CARMEL
Good Iiay Sunshine!
` -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.
Paye
CPurchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attacheA invoice(s) or bill(s))
b
Total
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.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
/ ALLOWED 20
V IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund