245520 05/20/15 o
CITY OF CARMEL, INDIANA VENDOR: 367776
ONE CIVIC SQUARE INDIANA URBAN MAYORS CAUCUS CHECK AMOUNT: $*****1,000.00*
CARMEL, INDIANA 46032 125 W MARKET ST SUITE 204 CHECK NUMBER: 245520
INDIANAPOLIS IN 46204 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355300 15IUMC-9 1,000.00 ORGANIZATION & MEMBER
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125 W. Market Street, Suite 240 . Indianapolis, IN 46204
Phone 317.237.6200 • Fax 317 237.6206 ° www.citiesandtowns.org
INVOICE
May 1, 2015
TO: Invoice Number
Hon. James Brainard
One Civic Square 15 IUMC-9
Carmel, IN 46032
2015 Indiana Urban Mayors Caucus $1,000.00
METHOD OF PAYMENT
Rf Check C] MasterCard C3 Visa C7 Discover O American Express
Check Number
Card Number
F
xpiration Date 3-digit Security Code
ame of Cardholder
uthorized Signature
Billing Address (if different from above)
CAN,
State Zip
Please remit by June 15, 2015
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))
05/01/15 151 U MC-9 $1,000.00
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Indiana Urban Mayors Caucus ALLOWED 20
IN SUM OF $
125 W. Market Street, Suite 204
Indianapolis, IN 46204
$1,000.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 151UMC-9 43-553.00 $1,000.00 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
Monday, May 18, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund