302152 08/22/16 ^^u` CITY OF CARMEL, INDIANA VENDOR: 370997
it ONE CIVIC SQUARE H2O2 PRODUCTIONS LLC CHECK AMOUNT: $*****3,500.00*
CARMEL, INDIANA 46032 PO BOX 859 CHECK NUMBER: 302152
9yy�TON CICERO IN 46034 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359300 34251 091016 3,500.00 LATE NIGHT ON MAIN EV
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
H2O2 PRODUCTIONS LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 859 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CICERO, IN 46034 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$3,500.00 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
34251 091016 43-593.00 $3,500.00 I hereby certify that the attached invoice(s),or 8/12/16 091016 $3,500.00
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
Monday,August 15,2016
&f�ld �-
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
. . .—----- .
" I
�IN
Date: August' 12; 2016.
VOICE. -Invoice #.:0,91.0.1.6 : : . . .' . .
H2o2'Pr6ductions LLC Bill "to: ..
PO. Box 859 . '. '. . "• :City:of Carmel- .
C Cicero, IN 46034 Community.
.• Relations:
One Civic.
_Sq.:uare
Carmel; 1 .46032 '
j
Performance at Goft..eekJLate:Night on Mainevent 9/10/1.6 $3;500:00
1. � . . . . .
. 1- . . . . . . . . . . . . . . . . - . . . . ., _.. . . . . ..
T 0.ta.1 'D e. x$3;,500:0.0 .
;.
Please make all-checks payable to:
i H202 Productions-LLC
r.
I-
THANK:YOU FOR YOUR BUSINESS!
:��-��: 4� r`'c.a{�o v►�r is �2.U�1��vv�r..>- .
E :