HomeMy WebLinkAbout303509 09/26/16 y u�..�AN�f
q`/ 4• : CITY OF CARMEL, INDIANA VENDOR: 370994 „*t,,,,,,, „
® ONE CIVIC SQUARE RACHEL PERRY CHECK AMOUNT: $ 500.00
,a CARMEL, INDIANA 46032 P.O,BOX 374 CHECK NUMBER: 303509
9,�/, .� NASHVILLE IN 47448-0374 CHECK DATE: 09/26/16
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367008 092116 500.00 CRC FESTIVALS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
RACHEL PERRY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
P.O. BOX 374 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NASHVILLE, IN 47448-0374 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$500.00 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
34249 INVOICE 3-670.08 $500.00 1 hereby certify that the attached invoice(s),or 8/31/16 INVOICE $500.00
1203 (-854---,y' 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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
EXHIBIT B
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Invoice
PiirchEise Order No:
Goods Services
Person'Providitig Date . . . Goods%Services P-koviiled Cost I'er Hotirly : Total
Goods/Services. - . Goods/ (Describe eaclr.goodAe"rViceItetit : : Rate%
Service se1jarately:and in detail). Hours: ,
Provide? Worked:
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GIUIIVD:TOTAL.
Sigriature
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