HomeMy WebLinkAbout255892 03/01/16 R��,4Ap3A(
CITY OF CARMEL, INDIANA VENDOR: 356653
`' CHECKAMOUNT: $********85.00*
.I; ® ,• ONE CIVIC SQUARE ALEXIA LOPEZ
r ?� CARMEL, INDIANA 46032 1265 E 106TH STREET CHECK NUMBER: 255892
v�iTON�� INDIANAPOLIS IN 46260 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 90941841 85.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO.
ALLOWED 20
ALEXIA LOPEZ
1265E 106TH STREET
IN SUM OF $
INDIANAPOLIS, IN 46280
$85.00
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
I 90941841 I 43-553.00 I $85.00 1 hereby certify that the attached invoice(s), or
1192 101
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
Friday, February 05, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
02/05/16 90941841 $85.00
1192 101
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
RECEIPT
Invoice#: 90941841
Order#: ,11904429
Invoice Date: 01/29/2016
Green Business Certification, Inc
1-800-795-1746
202-828-1145
www.gbci.org/contact
Paid By: Paid To:
4i � Green Business Certification,Inc
1265 E 106TH ST PO Box 822964
INDIANAPOLIS,IN 46280 Philadelphia,PA 19182-2964
Payment Method Payment Date
Credit Card:XXXX XXXX XXXX7873 01/29/2016
Project ID
Project Name
USGBC Member Company:City of Carmel
Item Description Quantity List Price/Unit Discount Amount
If applicable
Renewal:.Credential Renewal 1 $85.00 ($0.00) $85.00
Shipping/Handling $0.00
Sales Tax 0.00
Total Paid $85.00
Thank you for your payment.
Please keep this receipt for your records.