HomeMy WebLinkAbout303521 09/26/16 CITY OF CARMEL, INDIANA VENDOR: 369923
® i ONE CIVIC SQUARE MARK RATZLAFF CHECK AMOUNT: $*******100.00*
CARMEL, INDIANA 46032 2305 E 2ND ST#21 CHECK NUMBER: 303521
BLOOMINGTON IN 47401 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367009 092116 100.00 CARMEL ON CANVAS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MARK RATZLAFF
2305 E 2ND ST#21 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
BLOOMINGTON, IN 47401 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$100.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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 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
INVUCE
Date:September 16,2016
Artist Name: VxT.4� To City of Carmel
One Civic Square
Address:
Z2,J --f 2-1 Carmel,IN 46032
30
City,State,Zip Code
-MAKE CHECK,PAYABLE TO ;,
PRIZE LEVEL`; I 4;�
DESCRIPTION
TERM DUE DATE
Caimelon Canvas Prize Award Winner
Professional Division
$100 Merit Award-Plein Air Paint Out
SUBTOTAL
SALES TAX $0.00
TOTAL $1100.00