227241 12/19/2013 CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE n CHECK AMOUNT: U0.0 L)
CARMEL, INDIANA 46032 `�//]�. CHECK NUMBER: 227241
{ CHECK DATE:
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION /
Hamilton County Recorder
Mary L. Clark
12/19/2013 01:43:101P Trans 0: 000544766
Business Date: 12/19/2013 Rec By: FDS
2013074646 RIGHT WAY 01:43:10P
Subtotal: $18.00
2013074647 VACATION 01:43:10P
Subtotal: $21.00
2013074648 MlSC 01:43:10P
Subtotal: $27.00
Receipt Total: $66.OLD
Paid By Amount Ref N
Check $66.00 OO00007241
CLERK TREASURERS OFFICE
Rcvd From: CLERK TREASURERS OFFICE
Happy Holidays!
=
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995)
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,?
a n l Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�--
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
$
ON ACCOUNT OF APPROPRIATION FOR
Ti �q,o o
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
14 4 ,0 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund