258767 05/18/16 CITY OF CARMEL, INDIANA VENDOR: 00353341
CHECKAMOUNT: $*******12018*
.�;® .;•: ONE CIVIC SQUARE WOODLAND BOWL
CARMEL, INDIANA 46032 3421 E 96TH ST CHECK NUMBER: 258767
INDIANAPOLIS IN 46240 CHECK DATE: 05/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 05091601 120.18 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
00353341 Woodland Bowl Allowed 20
3421 E 96th St
Indianapolis, IN 46240
In Sum of$
$ 120.18
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1096-70 5091601 4239039 $ 120.18 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
May 17, 2016
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Signature
$ 120.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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.
00353341 Woodland Bowl Terms
3421 E 96th St
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/9/16 5091601 Adaptive Bowling Event 5/9/16 39858 $ 120.18
Total $ 120.18
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
RECEYVED
t4 t MAY 0.9 2016
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`P ho 4-4i}99 Fax #: 573-2051
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ReferenceInformation:
M t `�ouzo
ORDERED'- SHIPPED ID>SCRIPTION PRIG PER AMOUNT
2-
_._ Sales Ta.
Total is.Due No Later Than 30IDays.After the Date of the Invoi4e
Any Questions,Please Call the Number Above. After 30 Days,Adel 5%..After 45 Drays,Add 10°Jo
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