243515 03/05/2411 (9,
CITY OF CARMEL, INDIANA VENDOR: 129401ONE CIVIC SQUARE MICHAEL HOLLIBAUGHCHECK AMOUNT: S"""`"`135.00•CARMEL, INDIANA 46032 a0 DOCS CHECK NUMBER: 243515
CHECK DATE: 03/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357004 135.00 EXTERNAL INSTRUCT FEE
APA IN Chapter
Secure payments by paypal
Payment Receipt
Receipt ID
4120-3137-7147-1061
Total
$135.00 USD
We'll send a confirmation email to mhollibaugh@carmel.in.gov.This transaction will appear on your statement as PayPal
*APA IN.
Paid to Shipped to
APA IN Chapter Michael Hollibaugh
1 Civic Square
Carmel, IN 46032
United States
Your shopping cart
Description Price Quantity Amount
Registration for"2015 Spring Professional
Development Conference"(27 Mar 2015 7:30 AM $135.00 1 $135.00
-4:30 PM,Ball State University Alumni
00114
Item total $135.00
Tax $0.00
Total $135.00 USD
II
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michael Hollibaugh
IN SUM OF $
I
c/o One Civic Square "!
Carmel, IN 46032
i
$135.00
ON ACCOUNT OF APPROPRIATION FOR {
s
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#,rrITLE AMOUNT Board Members
1192 43-570.04 $135.00
1 hereby certify that the attached invoice(s), or
I I ,
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
,I
'I
ii.
Monday, March 23, 2015
o
)� Director_
I Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund j
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
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
03/23/15 $135.00
r
i
r
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
i `