241434 01/26/15 a°r,CAAM
CITY OF CARMEL, INDIANA VENDOR: 369058
® ONE CIVIC SQUARE CARMEL GREEN TEENS/CARMEL CLAY CHECK AMOUNT: $*****5,000.00*
CARMEL, INDIANA 46032 SCHOOL CHECK NUMBER: 241434
5201 E MAIN STREET CHECK DATE: 01/26/15
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1/20/2015 5,000.00 MISC EXP-ADMIN & GENE
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CARMEL GREEN TEENS / Carmel Clay Schools INVOICE
Carmel Clay Schools
5201 E. Main Street DATE
Carmel, IN 46033 1/20/2015
Attn: Joyce Myers, Business Affairs Office
p 317.844.9961 Ext. 1072
E-mail:'m ers ccs.kl2.in.us
BILL TO:
CARMEL UTILITIES
30 West Main St. Ste 220
Carmel, IN 46032
Phone: 317/571-2443
Fax: 317/571-2265
DESCRIPTION VENDOR AMOUNT
Spring 2015 Carmel Green Teen Micro-Grant Program - Carmel Green Teens/
Community Education and Youth Carmel Clay Schools (Fiscal
Grant Cycle Development Program Sponsor) $5,000.00
TOTAL $5,000.00
Remit m000.00
Please remit to: Carmel Green Teens / Carmel Clay Schools
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VOUCHER # 142783 WARRANT # ALLOWED
42595 IN SUM OF $
CARMEL CLAY SCHOOLS
ATTN: To Yc e 1'�l PSS
5201 E 131 ST ST
CARMEL, IN 46033
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
012015 01-6750-08 $5,000.00
i 3
s
Voucher Total $5,000.00
Cost distribution ledger classification if j
claim paid under vehicle highway fund
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Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
c
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
42595
CARMEL CLAY SCHOOLS Purchase Order No.
ATTN: TERRY RICH Terms
5201 E 131ST ST Due Date 1/23/2015
CARMEL, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2015 012015 $5,000.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
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Date Officer
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