HomeMy WebLinkAbout226871 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 367784 Page 1 of 1
ONE CIVIC SQUARE NANCY GLAZE CHECK AMOUNT: $274.41
CARMEL, INDIANA 46032 3597 SEMINOLE DR
o� CARMEL IN 46032 CHECK NUMBER: 226871
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 274 .41 1511441001 REFUND
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO G�
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. ffic r Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT
CARMEL, INDIANA
F v r f
-3
,3 Z
Total Amount of Voucher $
i
Deductions
i
Amount of Warrant $ !l
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission.and Dist.
Customer Accounts
Administrative and General
O eration-Maintenance
Utility Plant in Service
Constr.Work in Progress '
Materials and Supplies
Customers Deposits
Total
Allowed
i
Board of Control
Filed
l
Official Title
I
BOYCE FORMS-SYSTEMS 1-800382-8702 325