HomeMy WebLinkAbout303341 09/26/16 (9 CITY OF CARMEL, INDIANA VENDOR: 371164
ONE CIVIC SQUARE D.T. PALECEK CHECK AMOUNT: 100.00*
CARMEL, INDIANA 46032 1320 EDGEWOOD DR CHECK NUMBER: 303341
KAUKAUNA WI 54130 CHECK DATE: 09/26116
DEPARTMENT - ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367009 092116 100.00 CARMEL ON CANVAS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
D.Y..PALECEK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IN SUM OF$ CITY OF CARMEL
1320 EDGEWOOD DR
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
KAU KAU NA, WI 54130 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$100.00 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
INVOICE 3-670.09 $100.00 1 hereby certify that the attached invoice(s),or 9/19/16 INVOICE $100.00
1203 1203 854
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, September 20,2016
T (b�
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
INVOICE
Date:September'19,2016
. . . . . . . . . . . . . . . .. . . . .. .
Artist Name:D.K.Palecek - TO City of Carmel`
One Civic Square.
Address:1320 Edgewood_Drive Carmel, IN 46032
City,State,,Zip Code . . .
Kaukauna;WI 54130:
MAKE CHECK PAYABLE TO
D.K.Palecek:
PRIZE.LEVEL DESCRIPTION PAYMENT DUE DATE
TERMS
Camel on Canvas Prize Award Winner-
$100.. Professional Division
Merit Award-Plein Air Paint Out
SUBTOTAL
..SAL
.. .. .. ES"TAX- :. $0.00
'TOTAL $100:00: :