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233866 06/18/14
y u!.4�qy CITY OF CARMEL, INDIANA VENDOR: 368310 31 ONE CIVIC SQUARE SPECIAL OLYMPICS OF HAMILTON COlSP1iFICK AMOUNT: $....***694.00* ;3 a'. CARMEL, INDIANA 46032 PO BOX 730 CHECK NUMBER: 233866 �M�I6w NOBLESVILLE IN 46061 CHECK DATE: 06/18/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 32414CMYC 694.00 OTHER EXPENSES ,J Special Olympics Hamilton County Invoice 31- PO Box 730 Noblesville, IN 46061 (317)571 JEAM 5pecwwympics SOHCSports@gmail.com Date Invoice# HomiltonCounty www.specialolympicshamiltoncounty.org '6/5/14 32414CMYC Bill To Carmel Mayor's Youth Council City of Carmel Description Amount 3 on 3 Basketball Fundraiser on behalf of Special Olympics Hamilton County. Funds raised= $694.00 Thank you for supporting Special Olympics Hamilton County! SOHC is a non-profit 501©3,our Tax ID#is 35-1262574. Total $694.00 Thank you for your prompt payment. ®Py f2 Comer 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): Special Olympics of Hamilton County Date: 06/05/2014 Event/Activity(if applicable): March Madness BBall Tournemant Expense Account(see list of accounts): 8000 Additional Description: Sponsorship of Hamilton County Special Olympics Expense Amount(do not include Sales Tax): $694.00 Account Charged: ECityCarmel Other I verify to the best of my knowledge that this information is correct, and this purchase was ,nade on behalf of CMYC and not for personal use or gain. AL I IdC C�2 E en er*ture Date Please submit this form to Clerk—Treasurer along with the purchase receipt. For use by Clerk—Treasurer Appendix 15—Page 1 �l lti� oma_ CIVIYC�' ti Received and approved with correct purchase receipt by Clerk—Treasurer: Signator) Date For use by Council President,VPE, or VPE Expense has been approved by: Sig nature: Date: Position: Appendix 15—Page 2 VOUCHER NO. WARRANT NO. ALLOWED 20 Special Olympics of Hamilton County IN SUM OF$ P. O. Box 730 Noblesville, IN 46061 $694.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations Gift Fund 854 PO#/De t. INVOICE NO. ACCT#/TITLE AMOUNT p Board Members Cy�854 32414CMYC $694.00 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 Monday,June 16,2014 Director, Community Relations/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 i Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 06/05/14 32414CMYC $694.00 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