226724 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 358417 Page 1 of 1
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IN SUM OF $
P.O. Box 3299
Harlan, IA 51593-0258
$68.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-552.00 $68.00
I hereby certify that the attached invoice(s), or
I
bill(s) is (are) true and correct and that the
S materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, November 27, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/26/13 2 year subscription $68.00
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
20
Clerk-Treasurer