247943 07/28/15 r CAA .
�..°. *f. CITY OF CARMEL, INDIANA VENDOR: 356653
b it ONE CIVIC SQUARE ALEXIA LOPEZ CHECK AMOUNT: S******"*30.00*
,. _� CARMEL, INDIANA 46032 230 W 49TH ST CHECK NUMBER: 247943
M,�_oN.�`� INDIANAPOLIS IN 46208 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357004 30.00 EXTERNAL INSTRUCT FEE
Lopez, Alexia K
From: Eventbrite <orders@eventbrite.com>
Sent: Friday, July 17, 2015 3:30 PM
To: Lopez, Alexia K
Subject: Order Confirmation for Health Care Innovation Workshop & Expo (HCI-15)
s Find events My Tickets
Hi Alexia, this is your order confirmation for Health Care Innovation
Workshop & Expo (HCI-15)
Message from Organizer
No ticket needed.
Have a question? Contact the organizer at Iddahm@heapy.com
Order Summary July 17; 2015..
Order.#: 440292227 .
Name Type Ouantity Price
Alexia Lopez Attendee Registration - Early Bird 1 $30.00
TOTAL $30.00
Charged to: Visa = XXXX-XXXXXX-7873
This charge will appear on your card statement as EB *Health Care Innova
This order is subject to Eventbrite Terms of Service, Privacy Policy, and Cookie Policy
About this event
Wednesday, July 29, 2015
from 10:00 AM to 4:30 PM ;
(EDT)
Indianapolis Marriott North F9istsis
Hotel
Keystone at the CrossingCi
3645 River Crossing Pkwy.
Indianapolis, IN 46240
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s Green Expo
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2
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))
07/17/15 $30.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Alexia Lopez
IN SUM OF$
One Civic Square
Carmel, IN 46032
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
119.2 I I 43-570.04 I $30.00 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
Mon ay, Ily 2/-,)2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund