223862 09/10/2013 a"^a CITY OF CARMEL, INDIANA VENDOR: 367518 Page 1 of 1
ONE CIVIC SQUARE SEAN CARDWELL
!_. CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 4267 AMESBURY PLACE
WESTFIELDIN 46062 CHECK NUMBER: 223862
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100 . 00 OTHER EXPENSES
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
f s��✓� C� r���Je.( � Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
LcJe. , �� - G1 - 7- /3 - v�d-se
Total /D-- —
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
IN SUM OF $
�s 6Ury le,&e
ON ACCOUNT OF APPROPRIATION FOR
,4 / 0 / 'EV "
7 Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
399D 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