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245286 05/13/15 �r Coq %" ;�. CITY OF CARMEL, INDIANA VENDOR: 368310 �b "� ONE CIVIC SQUARE SPECIAL OLYMPICS OF HAMILTON COl!#ifyCK AMOUNT: $.......682.00* sy\ � CARMEL, INDIANA 46032 PO 13OX NOB ESV 30E IN asosi CHECK NUMBER: 245286 ''Tori�° CHECK DATE: 05/13/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 50715CMYC 682.00 OTHER EXPENSES y Special Olympics Hamilton County Invoice-- - - PO Box 730 Noblesville, IN 46061 (317)571-TEAM Specia101ympic5 SOHCSports@gmail.com Date Invoice# Hamilton County www.specialolympicshamiltoncounty.org 5/7/15 50715CMYC Bill To Carmel Mayor's Youth Council City of Carmel Description Amount 3 on 3 Basketball Fundraiser on behalf of Special Olympics Hamilton County. Funds raised= $682.00 Thank you for supporting Special Olympics Hamilton County! SOHC is a non-profit 501©3,our Tax ID#is 35-1262574. Total $682.00 Thank you for your prompt payment. i VOUCHER NO. WARRANT NO. Special Olympics of Hamilton County ALLOWED 20 IN SUM OF$ P. O. Box 730 Noblesville, IN 46061 $682.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations Gift Fund 854 PO#/Dept. INVOICE NO. ACCT#lrlTLE AMOUNT Board Members 854 150715CMYC I Mayors Youth Council I $682.00 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 which charge is made were ordered and received except Monday, May 11,2015 Director,Comm ity Rela ions/Economic Development 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 05/07/15 50715CMYC $682.00 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