226277 11/19/2013 a CITY OF CARMEL, INDIANA VENDOR: 361415 Page 1 of 1
ONE CIVIC SQUARE PENNY DALEY
CARMEL, INDIANA 46032 520 SUPERSTAR COURT CHECK AMOUNT: $250.00
CARMEL IN 46032 CHECK NUMBER: 226277
CHECK DATE: 11119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 111113 250 . 00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
Nov 4, 2013 125.00 Water Dist Office
Nov 11, 2013 125.00 Water Dist Office
Please Remit to: Penny Daley-GIS Tech
Carmel Water Dist Office
3450 W 131" Street
Carmel, IN 46074
(317) 733-2845
Total Due: 250.00
Pe aley
520 Super Star Ct
Carmel, IN 46032
317-374-1542
I
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1029
Daley, Penny Purchase Order No.
Distribution Terms
Due Date 11/9/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/9/2013 111113 $250.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and�I have audited same in accordance with IC 6-11-10-1.6
Date Officer
VOUCHER # 133301 WARRANT # ALLOWED
T1029 IN SUM OF $
Daley, Penny
Distribution
7
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
111113 01-6360-06 $25000
Voucher Total $250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund