226393 11/19/2013 "MF CITY OF CARMEL, INDIANA VENDOR: 366980 Page 1 of 1
` ONE CIVIC SQUARE MAWR DESIGN
! CHECK AMOUNT: $1,000.00
CARMEL, INDIANA 46032 849 SOUTH PARK TRAIL DRIVE
'y, oN co CARMEL IN 46032 CHECK NUMBER: 226393
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 110513 1, 000 . 00 CONT SVS-OTHER
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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
366980
MAWR DESIGN Purchase Order No.
849 South Park Trail Drive Terms
Carmel, IN 46032 Due Date 11/13/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/13/201: 110513 $1,000.00
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
Date Officer
VOUCHER # 136839 WARRANT # ALLOWED
366980 IN SUM OF $
MAWR DESIGN
849 South Park Trail Drive
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
110513 01-7360-08 $1,000.00
Voucher Total $1,000.00
Cost distribution ledger classification if
claim paid under vehicle highway fund