HomeMy WebLinkAbout257777 04/26/16 �+yr_GggMf
/ CITY OF CARMEL, INDIANA VENDOR: 355133
�l ONE CIVIC SQUARE AUDREY B KOSTRZEWA CHECK AMOUNT: $*****"'383.95`
s. � CARMEL, INDIANA 46032 2592 TURNING LEAF LANE CHECK NUMBER: 257777
9.y��toN�� CARMEL IN 46032 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 042516 383.95 SPECIAL PROJECTS
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.
355133 Kostrzewa, Audrey Terms
2592 Turning Leaf Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
04/15/16 Reimb Custom Framing $ 383.95
Total $ 383.95
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
i
Voucher No. Warrant No.
355133 Kostrzewa, Audrey Allowed 20
2592 Turning Leaf Lane
Carmel, IN 46032
In Sum of$
$ 383.95
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 Reimb 4359000 $ 383.95 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
April 21, 2016
Signature
$ 383.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
F3
Where Creativity Happens- 0)
MICHAELS STORE #9951 (317)580-9200
GREYHOUND PLAZA
14670 U.S, 31 NORTH
CARMEL, IN -16032
0
Return Barcode
0
6-9241-0115-1255`2452-1111-1145-1600-83 4 0
eD
zs
163 FRAMING 3714 9951
036 0:09 m
ACCOUNT # 77672 3
CUSTOM FRAME 587.30
—400100054611- 1 2 587.30 Ny Q. (D
(1) T n
S OFF SAVINGS 411.11- w
EXPEDITED SHIPPIN 886916277092 39.16 1 @ 39.16 Ng mn W
ACCOUNT # 77673
CUSTOM FRAME 562.00
100100054611 1 @ 562.00 W 3
CD S"'
OR SAVINGS M.40- 0 r-
O
99 NONTAXABLE TOTAL
TOTAL 383.95 (D. �A 0
0 Amling I kmt" 3 d ^
ACCOUNT NUMBER k )
Visa U3
r
APPROVAL: 00395D CHIP U) CL (D 0
"a 1<
Application Label: VISA CR (D
0 3
(D
AID: AOOOOO00031010
m 0 :3
TVR: 0080008000
TSI: E800 m
0� ch
0 fD
This receipt expires at 180 dais an 10/17/16
(D
6-9241-0115-12E&-2452-1111-1145-1600-M
0094-9994-096.14;7'1301-3441-2155--0605-834
0
C
ca
OD
Q0
bz I
Dw
SA CR W
US
O
f T
0
0
0
K
:3 CD
(0