HomeMy WebLinkAbout303306 09/26/16 f Cqq -
�� '""R CITY OF CARMEL, INDIANA VENDOR: 371142
`T= �` CHECK AMOUNT: $*******100.00*
.� ® gl• ONE CIVIC SQUARE ANDREA BOJRAB
?4 CARMEL, INDIANA 46032 6720 KIRKDALE DR CHECK NUMBER: 303306
vM,_ l/. FT WAYNE IN 46815 CHECK DATE: 09/26/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367009 092116 100.00 CARMEL ON CANVAS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ANDREA BOJRAB
6720 KIRKDALE DR IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
FT WAYN E, IN 46815 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 9/16/16 INVOICE $100.00
1203 X854 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
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
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1 Date:September 16,2016
Artist Nape: TO City of Carmel
� One Civic Square
Address: 1 Carmel,IN 46032 i
672 O
City,State,Zip Code
MAKE CHEEK PAYABLE TO
i PRIZE LEVEL. DESCRIPTION ENT DUE DATE
MS
Carne/on Canvas Prize Award Winner
Professional Division
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$100 Merit Award-Plein Air Paint Out
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SUBTOTAL
SALES TAX $0.00
TOTAL $100.00
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