238625 10/28/14 +pr_C�q�
CITY OF CARMEL, INDIANA VENDOR: 365818
Jy `\. CHECK AMOUNT: $*******350.00*
��® , ONE CIVIC SQUARE GIANNINA HOFMEISTER
f? a CARMEL, INDIANA 46032 8181 MORNINGSIDE DRIVE CHECK NUMBER: 238625
+,,;__,�' INDIANAPOLIS IN 46240 CHECK DATE: 10/28/14
ETON L�•
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 JH100212 350.00 ADULT CONTRACTORS
Giannina •
8181 Morningside DI
Indianapolis,In 4624(
Client
Monon Center INVOICE NUMBER JH 100212
INVOICE DATE October 2,2014
OCT -9 201
QUANTITY _" ' DESCRIPTION DATE " UNIT PRICE AMOUNT
1 Jason Hsu Music Therapy Session 13-May-14 35.00 $35.00
1 Jason Hsu Music Therapy Session 22-May-14 35.00 35.00
1 Jason Hsu Music Therapy Session 3-Jun-14 35.00 35.00
1 Jason Hsu Music Therapy Session 10-Jun-14 35.00 35.00
1 Jason Hsu Music Therapy Session 1-Jul-14 35.00 35.00
1 Jason Hsu Music Therapy Session 8-Jul-14 35.00 35.00
1 Jason Hsu Music Therapy Session 22-Jul-14 35.00 35.00
1 Jason Hsu Music Therapy Session 26-Aug-14 35.00 35.00
1 Jason Hsu Music Therapy Session 9-Sep-14 35.00 35.00
1 Jason Hsu Music Therapy Session 16-Sep-14 35.00 35.00
1 st set of ten
SUBTOTAL 350.00
TAX
FREIGHT
$350A0
MAKE ALL CHECKS PAYABLE TO: PAYTHIS
Giannina Hofineistei AMOUNT
8181 Morningside DI
Indianapolis,In 4624(
THANK YOU!
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APProva ate -I,�I
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.
365818 Hofmeister, Giannina Terms
8181 Morningside Dr
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/2/14 JH100212 Music Therapy JH 5/13 -9/18/14 37668 $ 350.00
Total $ 350.00
1 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
,I
i
Voucher No. Warrant.No.
365818 Hofmeister, Giannina j Allowed 20
8181 Morningside Dr I
Indianapolis, IN 46240
In Sum of$
$ 350.00
1.
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center.
Po#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 JH100212 4340800 $ 350.00 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
f
which charge is made were ordered and
received except
i
23-Oct 2014
Signature
$ 350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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