HomeMy WebLinkAbout233534 06/11/14 s,q,,F. CITY OF CARMEL, INDIANA VENDOR: 368277
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ONE CIVIC SQUARE LAKE STATES DAIRY CHECK AMOUNT: $*******570.00*
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CARMEL, INDIANA 46032 856 N 600 E CHECK NUMBER: 233534
9+„iroN_�` FAIR OAKS IN 47943 CHECK DATE: 06111/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 6/24/14 570.00 FIELD TRIPS
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Date:
Invoice#:
To: Carmel Clay Parks&Recreation
Salesperson Job Payment Terms Due Date
Lisa Roozee AIAd "'i issm ss ons }24-Jun-14 6/24/14
Qty Description Unit Price Line Total
57 jSchool Admissions for Dairy&Pigs $10.00 $570.00
u_ 3704 �-X_ _ _
-I bB.2.-13
3
intake Checks Payable To: LAKE STATES DAIRY�� M
LEE
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Subtotal l $570.00
Credit Card: Name On Card Sales Tax
MC Total $570.00
Visa Card#
Discover
A Exp Exp.Date: Code:
Thank you for your business!
856 N 600 E Fair Oaks,IN 47943 877-536-1194 x321
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: b jj LI
Check payable to:
Name: L Q t✓ �'G�'e
Address: � ��
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City,State,Zip L- , D,k S, 1, N
Mail check to payee _ Retum check to requestor
Check Amount:$ J - Date Required:
Check needed for. Ml
To be paid from:
PO#(if applicable)
Budget account-GL#
Budget Line Description Q ��
/nvoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print):
J rn �-j) Ug 1I
Requested by(signature):
Approved by(signature of Division Manager):
on this date "
Forrn revised 7-7-08 Shared/Forms/Business Services/Check Request Form I Check Request(rev 7-7-08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Lake States Dairy Terms
856 N 600 E
Fair Oaks, IN 47943
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/2/14 6/24/14 Field trip 6/24/14 37047 $ 570.00
Total $ 570.00
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_
Cierk-Treasurer
SII
Voucher No. Warrant No.
Lake States Dairy Allowed 20
856 N 600 E {
Fair Oaks, IN 47943
1 In Sum of$
$ 570.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
INVOICE NO. ACCT#ITITLE AMOUNT
Dept#
1082-13 6/24/14 4343007 $ 570.00 1 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
5-Jun 2014
Signature
$ 570.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund