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238799 11/05/14
CITY OF CARMEL, INDIANA VENDOR: 362098 Q8 ONE CIVIC SQUARE E LURIE LLC CHECK AMOUNT: $****10,000.00` CARMEL, INDIANA 46032 30 W MAIN STREET CHECK NUMBER: 238799 '';ETON CARMEL IN 46032 CHECK DATE: 11/05/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 10,000.00 OTHER EXPENSES EVAN LU RI E GALLERY Los Angeles, Miami and Indianapolis 30 West Main Street,Carmel IN 46032 Tel:317-844-8400 Fax:31 7-844-8460 info@evaniuriegallery.com December, 12014 John Duffy, Director 760 31 Ave SW#110 Carmel, IN 46032 Invoice For Property located at: Evan Lurie Gallery 30 West Main Street Suite 220 Carmel IN 46032 Base Lease Rent:December 2014 $11,998 99_, Total Dues --$1-1;899-99— ,no©.n& Please make checks payable to: E. Lurie,LLC Thank You. Prescribed by State Board of Accounts Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 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 Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WASTEWATER UTILITY ACCT. CARMEL, INDIANA L Le Favor Of Total Amount of Voucher $ Deductions a�0 L J42000 O Amount of Warrant $ /U U 7 d Month of Yr Acct. VOUCHER RECORD No. Collection System Pumping Treatment&Disposal Customer Accounts Administrative&General Reclaimed Water Treatment Reclaimed Water Distribution Total Allowed Board Members Filed BOYCE FORMS•SYSTEMS 1-800-382-8702 325