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249591 09/23/1 5 a or.C�9M CITY OF CARMEL, INDIANA VENDOR: 369867 s ® I ONE CIVIC SQUARE ANNA AFSHAR ART CHECK AMOUNT: $ *"""'720.00' x r CARMEL, INDIANA 46032 14304 RYAN DRIVE CHECK NUMBER: 249591 FISHERS IN 46038 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 8/31/15 720.00 ADULT CONTRACTORS Anna Afshar Art SEP 215 1-4304 Ryan Dr. r:z V U Fishers, BY- IN 46038 ' (317)201-8053 O > Date To Ship To August 31,2015 Monon Community Center Same as recipient 1235 Central Park Drive East Carmel, IN 46032 (317)848-7275 Instructions Please send check to business address Quantity Description Unit Price Total 6 Watercolor Workshop Contractor $120 $720 Fee Purchase i Description C� 4-XMM P.O. # ��o - - P or�- G.L. # Budget _ Line Descr �on��•ac�� �1 vMen>� Subtotal $720 Purchaser - rte— Date-y/3�5 - ApprovaL- t . n,t�r�U�L' _c,LU•y► Date �1 r7 Sales Tai Shipping&Handling Total Due By 9.30.2015 $720 Thank you for your business! Tel: 317-201-8053 Email:anna6271 @hotmail.com Web:www.annaafsharart.com 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. Anna Afshar Art Terms 14304 Ryan Dr Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 8/31/15 8/31/15 Watercolor Workshop 8/28- 8/29/15 39041 $ 720.00 Total $ 720.00 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. Anna Afshar Art Allowed 14304 Ryan Dr 20 Fishers, IN 46038 In Sum of$ $ 720.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. CCT#/TITL AMOUNT Dept# Board Members 1096-50 8/31/15 4340800 $ 720.00 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 September 17, 2015 Signature $ 720.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund