HomeMy WebLinkAbout233758 06/18/14 `% c,q,,F. CITY OF CARMEL, INDIANA VENDOR: 368318
® ONE CIVIC SQUARE ALEX HILLER CHECK AMOUNT: $********20.00*
'L9��?�; CARMEL, INDIANA 46032 CARMEL IN 460 2WAY CHECK CHECK DATE: 06 18/184 -
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 20.00 OTHER EXPENSES
Carmel Art Gala Artist Payments
Artist Name Street City State ZIP Amount Due
Alex Hiller 1397 N Claridge Way Carmel IN 46032 $ 20.00
Daniel Rayl 13994 Springmill Ponds Circle Carmel IN 46032 $ 32.50
Aaron Ibey 11720 Westwood drive Carmel IN 46033 $ 22.50
Veeanna Edwards 1107 Laurelwood dr Carmel IN 46032 $ 25.00
Megan O'Malley 5183 warbler way south Carmel IN 46033 $ 60.00
Stuart Summerville 1449 East Lynn Drive Indianap IN 46202 $ 37.50
Alex Mikev 11209 Basswood Court Carmel IN 46032 $ 62.50
Gretchen Nihil 12131 pebblepointe pass Carmel IN 46033 $ 10.00
Vjatscheslav Kharitonenkov 3812 Verdure Lane Zionsvill(IN 46077 $ 40.00
Luke Meyers 331 west main street Carmel IN 46032 $ 25.00
Total Amount Due $ 335.00
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CIVIYC
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Non-reimbursement Expense Receipt
Non-reimbursement expenses are transactions that are charged directly to a CMYC account.
After completing this form,please submit it to the Council Clerk-Treasurer.
Expender: Jack Langston
Vendor(location of purchase): Multiple Carmel Art Gala Artists
Date: 5/2/2014
Event/Activity (if applicable): Carmel Art Gala
Expense Account(see list of accounts): 5500
Additional Description: Please see the attached sheet for individual expenses (50%
Commission)
Expense Amount(do not-include-Sales Tax): $335.00
Account Charged: =CarnmnelOther
- -I verify-to-the best-of-my knowledge that this information is correct, and this purchase was
on beh CMYC and no r personal use or gain.
c Zd
pend r S' n ture Date
Please submit this form to Clerk—Treasurer along with the purchase receipt.
Appendix 15—Page 1
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CIVIYcm
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For use by Clerk—Treasurer
Received and approved with correct purchase receipt by Clerk—Treasurer:
Signature c �1 Date
For use by Council President,VPE, or VPE
Expense has been approved by:
'Signature. a Date: ds 0S U L( Position: C'S
00
Appendix 15—Page 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Alex Hiller
IN SUM OF$
1397 N. Claridge Way
Carmel, IN 46032
$20.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
CmT1
854 Receipt List $20.00 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
Monday,June 16, 2014
Director, Community Re ations/Economic Development
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))
05/05/14 Receipt List $20.00
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