225281 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367690 Page 1 of 1
ONE CIVIC SQUARE MS GEMMA BAUGH CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 11682 BRADFORD PLACE
CARMEL IN 46033 CHECK NUMBER: 225281
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100 . 00 GAZEBO RENTAL
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'Y►/-Y'la �CL- cJcr A Purchase Order No.
Terms
6a_rM 'e- �, - /� (�S 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
r
--
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
IN SUM OF $
`d2—
$ /
ON ACCOUNT OF APPROPRIATION FOR
-,*-7/o / I-e EA1 -
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
pZ � — 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
s ,-1 /A
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund