HomeMy WebLinkAbout224060 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367560 Page 1 of 1
`` f ONE CIVIC SQUARE NORTH PARK COMMUNITY CHURCH
CARMEL, INDIANA 46032 MR.JIM MARTENSON
484 E CARMEL DRIVE CHECK AMOUNT: $100.00
<,o„� CHECK NUMBER: 224060
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CARMEL IN 46032
CHECK DATE: 9/1012013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100 . 00 GAZEBOE DEP 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.
�n Payee
ND w �-A 7'c>`r K co dN U it 7-
.T, vvl n0eL_rte,r)SoV1 C��TC`� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 r
9-9-/ �r �� ��-a-K G'o yv,,-�-,c�n; �� ��t v���� Sir✓ace- /!�-� —
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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.
n ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
:?i�/0 / C-,GW
(>Q-7-
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
/D l 0;,2 3 99v 119-6 - 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
1
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund