226640 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 361415 Page 1 of 1
ONE CIVIC SQUARE PENNY DALEY CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 520 SUPERSTAR COURT
CARMEL IN 46032 CHECK NUMBER: 226640
CHECK DATE: 1 21312 01 3
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 112513 250 . 00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
Nov 18, 2013 125.00 Water Dist Office
Nov 25, 2013 125.00 Water Dist Office
Please Remit to: Penny Daley-GIS Tech
Carmel Water Dist Office
3450 W 131St Street
Carmel, IN 46074
(317) 733-2845
Total Due: 250.00
Pe y Daley
520 Super Star Ct
Carmel, IN 46032
317-374-1542
VOUCHER # 133425 WARRANT # ALLOWED
T1029 IN SUM OF $
Daley, Penny
Distribution
v
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
ti
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
112513 01-6360-06 $250.00
Voucher Total $250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 11/21/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/21/201', 112513 $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 5-11-10-1.6
Date Officer