HomeMy WebLinkAbout253115 01/11/16 .��(.4!IH,bE!
�� .� CITY OF CARMEL, INDIANA VENDOR: 172645
ONE CIVIC SQUARE BRETT A KEITH CHECK AMOUNT: $ 150.00
;>• �,=Q. CARMEL, INDIANA 46032
CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 3719 150.00 ORGANIZATION & MEMBER
€ BRETT S.4EITH 2253
MEGAN.R:.KEITH. nat$s3
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Hadand Clarke
INVOICE 3,719
,(GRApy
PO Box 8037 Chattanooga,TN 37414-0037 a"
Invoice# 3719
BRETT KEITH Invoice Date 12/16/2015
Amount Due $ 150.00
Transactions
Description Amount
Membership Renewal-Member $150.00
Total.Amount $ 150.00
Amount Paid -$0.00
Amount Due $150.00
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 ofservice,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 Date Invoice# Description Amount
Dept. Fund# (or noteattached invoice(s)or bill(s))
12/16/15 3710 American Polygraph.Association membership hues $150.00
.1.110 101
I.hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-104.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO:
ALLOWED
20
BRETT A KEITH
IN SUM OF$
.
$150.00
ON ACCOUNT OF APPROPRIATION.FOR
PO#t Dept. INVOICE NO. ACCT#%Fund. AMOUNT
Board Members
its 43-563.00 $150.00 I;hereby certify that the attached invoice(s);.or
1110 101 Prior Year
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
Wednesday, December 30, 201.5 . :
Cost distribution ledger classification if
claim paid motor vehicle highway fund