HomeMy WebLinkAbout301532 08/04/16 r.f.�q.
J`.%"� �� CITY OF CARMEL, INDIANA VENDOR: 357005 CHECK AMOUNT: $"*"*"""*90.00*
® �1 ONE CIVIC SQUARE DAVID LITTLEJOHN
i�. ;+`; CARMEL, INDIANA 46032 4840 N.GUILFORD AVENUE CHECK NUMBER: 301532
9M...._ .o, INDIANAPOLIS IN 46205 CHECK DATE: 08/04/16
ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357002 072116 90.00 EXTERNAL TRAINING FEE
I
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
DAVID LtTTLEJOHN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4840 N. GUILFORD AVENUE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46205 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$90.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
0 43-570.02 $90.00 I hereby certify that the attached invoice(s),or 7/29/16 0 Indiana Bike Summit $90.00
1192 07MI 07MI Ce 101 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
Tuesday,August 02,2016
Mike Hollibaugh
Director
I 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
Receipt
Important!
This payment will appear as,"Bicycle Indiana Inc"on your bank statement. We recommend that you print a copy of this receipt for
comparison with your bank statement,as well as for your personal records.
Thursday,July 21,2016[9:18:04 AM]
Bicycle Indiana, Inc.
Bicycle Indiana, Inc.
242 E.Market Street,Ste. 102
Indianapolis, IN 46204
Details
Price Quantity Total
IN BWS 2016-Conference only(Tues/Wed)-David Littlejohn $90.00 1 $90.00
Subtotal $90.00;
Total
Total
Charge
$ 90.00
Transaction Summary
Order Number: 1607210918044401469
Authorization Code:04154C
Transaction Number:917082514
Name on Card:David W Littlejohn
VISA[xxxx xxxx xxxx 1469]
Billing Information
David Littlejohn
4840 Guilford Ave
Indianapolis,Indiana 46205
3174438774
dwlittleiohn(a)amail.com