246409 06/17/15 y �,A+, CITY OF CARMEL, INDIANA VENDOR: 368277
® ��, ONE CIVIC SQUARE LAKE STATES DAIRY CHECK AMOUNT: $*******510.00*
s_. _� CARMEL, INDIANA 46032 856 N 600 E CHECK NUMBER: 246409
vM,_ FAIR OAKS IN 47943 CHECK DATE: 06/17/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 061915 510.00 FIELD TRIPS
�iS9 '7
Date:
FAIR OAKS FARMS .
Invoice #:;
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JUN - 1 2015
To: Carmel Clay Parks&Recreation
Salesperson Job Payment Terms Due Date
Lisa Roozee Admission 19-Jun-15 6/19/15
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Qty Description Unit Price Line Total
51 School Dairy&Pig Admissions $10.00 $510.00
Make Checks P yable To: LAKE STATES DAIRY
F-AIR- otaKS, 1 N
Subtotal $510.00
Credit Card: Name On Card Sales Tax
MC
Total $510.00
Visa Card#
Discover
A Exp Exp.Date: Code:
Thank you for your business!
856 N 600 E Fair Oaks, IN 47943 877-536-1194 x321
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
368277 Lake States Dairy Terms
856 N 600 E
Fair Oaks, IN 47943
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/19/15 6/19/15 Field trip Science of Summer 38614 $ 510.00
Total $ 510.00
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
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Voucher No. Warrant No.
368277 Lake States Dairy Allowed 20
856 N 600 E
Fair Oaks, IN 47943
In Sum of$
$ 510.00
ON ACCOUNT OF APPROPRIATION FOR
t
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-5 6/19/15 4343007 $ 510.00 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
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June 11, 2015
Signature
$ 510.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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