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241435 1 /27/2015 oql� CITY OF CARMEL, INDIANA VENDOR: 367942 ONE CIVIC SQUARE 40 ET 8 NEWSCHECKAMOUNT: S*"*****148.50* CARMEL, INDIANA 46032 PO Box 42241 CHECK NUMBER: 241435 INDIANAPOLIS IN 46242 CHECK DATE: 01/27/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4346500 105244 148.50 CITY PROMOTION ADVERT 40 40 ET 0 NEWS 8 Official Publication of The Honor Society of • The Indiana Veterans Account No.: Date: Jan 16,2015 Invoice No.: 105244 Brookshire Golf Course 12120 Brookshire Parkway Sold To: Carmel IN 46033 • Attn: Bob Higgins Attn: Authorized by: Bob Higgins — Phone: 317-846-7431 See: - COUNTY CODE `ITEM NO. DESCRIPTION UNIT PRICE 6-Hamilton Co 2 1/12 Page Ad 148.50 TERMS:PAYMENT IS DUE UPON RECEIPT 148.50 Please attach ad copy and make check payable to 40 ET 8 NEWS Thank, Send remittance to: PO Box 42241 Indianapolis, IN 46242 YOU Phone: 1-800-899-4338 (TIN 35-1494230) i VOUCHER NO. WARRANT NO. ALLOWED 20 40 ET 8 NEWS IN SUM OF$ PO Box 42241 Indianapolis, IN 46242 $148.50 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 105244 I 43-465.00 I $148.50 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 Wednesday, January 21, 2015 i Director, Brooks Golf Club 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. I. Payee Purchase Order No. Terms Date Due I Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 01/16/15 105244 Advertising $148.50 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 5-11-10-1.6 120 Clerk-Treasurer