224227 09/24/2013 CITY OF CARMEL, INDIANA VENDOR: 4v, Page 1 of 1
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CARMEL, INDIANA 46032 CHECK AMOUNT: /](
CHECK NUMBER: 224227
CHECK DATE:
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION J
Hamilton County Recorder
Diary L. Clark
09/24/2013 11:49:13A Trans #: 000530821
Business Date: 09/2412013 Rec By: SAG
2013060385 RELEASE 11:49:13A
Subtotal: $16.00
2013060386 MISC 11:49:13A
Subtotal: $33.00
2013060387 EASEMENTS 11:49:13A
Subtotal: $27.00
2013060388 EASEMENTS 1109:13A
Subtotal: $27.00
2013060389 EASEMENTS 11:49:13A
Subtotal: $29.00
2013060390 EASEMENTS 11:49:13A
Subtotal: $31.00
2013060391 RIGHT WAY 11:49:13A
Subtotal: $20.00
2013060392 RIGHT WAY 11:49:13A
Subtotal: $20.00
Receipt Total: $203.00
Paid By Amount Ref #
Check $203.00 0000004227
CLERK; TREASURER
Rcvd From: CLERK; TREASURER
Good Day Sunshine!
AV
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 I&S Purchase Order No.
Terms
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.
V/17 ALLOWED 20
IN SUM OF $
$
0--
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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund