HomeMy WebLinkAbout303531 09/26/16 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
SEPIDEH MOTEVASELOLHAGH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
6520 MOSSY ROCK LANE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46237 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 ('854-� 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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
Date:September 16,2016
i
Artist Name:Sefi"; MataraSefolho( To City of Carmel
One Civic Square
Address: 65,20 MOSSY ROCK Ln Carmel,IN 46032
City,State,zip Code ]ndiawpolis,IN, 216237
MAKE CHECK PAYABLE TO:
r
Sepideh Motevolse.1016-3k
I PRIZE LEVEL i.
f':DESCRIPTION M DUE DATE
Carme/on Canvas Prize Award Winner
Non-Professional Division
t
$100 Second Prize-Plein Air Paint Out
I
I
i
SUBTOTAL
SALES TAX $0.00
TOTAL $100.00
i