223675 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 367501 Page 1 of 1
ONE CIVIC SQUARE TURNING POINT MINISTRIES
CARMEL, INDIANA 46032 PASTOR JEFF PITTS JR CHECK AMOUNT: $100.00
310 N RANGELINE ROAD
o„a CHECK NUMBER: 223675
CARMEL IN 46032
CHECK DATE: 8/2712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100 . 00 GAZEBO REFUND
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.
ayee
TLr-n ,'va o ���t ���h 6-1-rl e 5
In Purchase Order No.
Terms
rl)e__ 3 Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
Tv i-n , i-11 qq ' c?� � fi n� "I-); ;�S ALLOWED 20
J -e— � P IN SUM OF $
c7 � j,7
,2-�
ON ACCOUNT OF APPR PRIATION 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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund