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HomeMy WebLinkAbout257711 04/22/16 tt ut�'�\M� J/ ��• CITY OF CARMEL, INDIANA VENDOR: 356653 ® { ONE CIVIC SQUARE ALEXIA LOPEZ CHECK AMOUNT: S•••""'350.00' s. ?� CARMEL, INDIANA 46032 1265 E 106TH STREET CHECK NUMBER: 257711 +.y��*oN�. INDIANAPOLIS IN 46280 CHECK DATE: 04/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355300 90963476 300.00 ORGANIZATION & MEMBER 1192 4355300 90963494 50.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. ALEXIA LOPEZ ALLOWED 20 1265 E 106TH STREET IN SUM OF$ INDIANAPOLIS, IN 46280 $350.00 ON ACCOUNT OF APPROPRIATION FOR Dept of Community Service PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 90963476 43-553.00 $300"00 1 hereby certify that the attached invoice(s), or 1192 101 90963494 43-553.00 $50.00 bill(s) is (are)true and correct and that the 1192 101 materials or services itemized thereon for which charge is made were ordered and received except Monday,April 18, 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)) 04/18/16 90963476 Organizational Dues $300.00 1192 101 04/18/16 90963494 Dues-Alexia Lopez $50.00 1192 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and 1 have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer RECEIPT Invoice#: 90963494 Order#: 11934840 Invoice Date: 04/06/2016 U.S. Green Building Council 1-800-795-1747 202-742-3792 www.usgbc.org/contact Paid By: Paid To: Alexia Lopez U.S.Green Building Council 1265 E 106TH ST PO Box 404296 INDIANAPOLIS,IN 46280 Atlanta,GA 30384-4296 Payment Method Payment Date Credit Card:XXXX XXXX XXXX7873 04/06/2016 USGBC Member Company:City of Carmel Item Description Quantity List Price/Unit Discount Amount If a licable Indiana Chapter 1 $70.00 ($20.00) $50.00 Shipping/Handling $0.00 Sales Tax $0.00 Total Paid $50.00 Total Discount:$20.00 Thank you for your payment. Please keep this receipt for your records. RECEIPT Invoice#: 90963476 Order#: 11934810 Invoice Date: 04/06/2016 U.S. Green Building Council 1-800-795-1747 202-742-3792 www.usgbc.org/contact Paid By: Paid To: Alexia Lopez U.S.Green Building Council 1265 E 106TH ST PO Box 404296 INDIANAPOLIS,IN 46280 Atlanta,GA 30384-4296 Payment Method Payment Date Credit Card:XXXX XXXX XXXX7873 04/06/2016 USGBC Member Company:City of Carmel Item Description Quantity List Price/Unit Discount Amount If a licable USGBC Membership-Organizational 1 $300.00 ($0.00) $300.00 Shipping/Handling $0.00 Sales Tax S0.00 Total Paid $300.00 Thank you for your payment. Please keep this receipt for your records.