259721 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 368204
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ONE CIVIC SQUARE JAMES M VANSLAMBROOK CHECK AMOUNT: $***'**'595.00'
=q CARMEL, INDIANA 46032 842 DESERT WIND COURT CHECK NUMBER: 259721
CARMEL IN 46032 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 33798 062516 595.00 PERFORMANCE JAZZ
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
JAMES M VANSLAMBROOK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
842 DESERT WIND COURT IN SUM of$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$595.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
33798 062516 43-590.03 $595.00 1 hereby certify that the attached invoice(s),or 6/3/16 062516 $595.00
1203 101 1203 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
Wednesday,June 08,2016
2
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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NVU r Dane June.3:; 2016.. Invoice #."062516
James M. VanSlambrook Bill.tci !
842 Desert.Wind Ct. City of Carmel
:Carmel, IN 46032. :Community Relations .
44 Qne:C,ivic'S' e". : "
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PO#_33798 Carmel, IN: 46032
Slammer Jrazz Trio.Performance at Jazz"on the.Monon-.6/25/16 $595.00
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Ok" -Iv—
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T.ot:a1. Due
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Please""make.all checks payable to:
i' James M. VanSlambrook"
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THANK YOU."FOR YOUR BUSINESS!.
r. . . 4. 1