Claims 04 03 2023 Regular
Replaces check #094796
Approved by State Board of A=unts for Pulaski County Warrant#
ACCOUNTS PAYABLE VOUCHER
PULASKI COUNTY-WINAMAC, INDIANA 46996 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, number of units, price per unit, etc. · :i:::?;�Yd\}i:!/1:;( :Vi:'i/:::}: )'.i@\fi:li//'Ciff�ttli2:·§�i�fyli:i:}!j{Jl::ii :•((§g��f-Mim+.� 1 Jf ·•r] i :::J!\]}t(l;Ji]\i::�M§}!/}i}::\[ii;l;;i[::fH}
I
7056 Med-Tech Resource LLC 29485 AIRPORT RD.
EUGENE, OR 97402
Appropriation
Invoice Number 138323
Description
Invoice date 11/28/2022
AMOUNT
Name
Appropriation #
with attach invoices
Fund 1170
1,014.55
Patient care Supplies
24601-3B7
Patient Care Supplies
30,
""'""This was the one that the check was
never cashed _..
ACCT
:�tY:fri:Y:/::::•<:·i+:aI�tss·
Total
0. *
.(s), is (are) true and correct and that the material or services itemized thereon for l except
I hereby cert which charg•
O• :ic
] 0 • X 99•= 9 9 0 · L O :i: +
FILED
3/18/2023 Date I hereby ver
_____ AM _____ PM
s(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-2 MAR 2 7 ?n?3
990 • u u .,.
Auditor
Date
2 4 • 5 5 � :ignature
PULASKI CO.
AUDITOR
1 • 0 1 4 5 5:.. + --------------------------&. ( County Commissioner (When Required) ;ignature
17
rJ�����tJ PULASKI COUNTY
o .
Date
FOR TREASURER TO APPLY 23-Mar-23
CHECK# TOTAL AMOUNT
$259.09
1000-38501-0068 OWNER
TAX REFUND
NOTES ABOUT
AMOUNT
NAME
ABOUT ALTERNATIVE PARCEL
PARCEL
$259.09 APPLY
66-16-01-333-001.000-016 ALFRED J & JOANNA DIMMOCK
TOTAL CHECK
$259.09
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