HomeMy WebLinkAbout303434 09/26/16 9, F - CITY OF CARMEL, INDIANA VENDOR: 368819
j; ONE CIVIC SQUARE JAN C JOHNSON CHECK AMOUNT: $*******200.00*
INDIANAPOLIS�` CARMEL, INDIANA 46032 614 N SHERMAN DRIVE CHECK NUMBER: 303434
9iioN'c°t INDIANAPOLIS IN 46220 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367009 092116 200.00 CARMEL ON CANVAS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
JAN C JOHNSON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
•64�N` c �C3 SHER�M_ '�
A,,N. DRIVE IN
IN SUM OF$ CITY OF CARMEL
U!-\ Y\.� � v An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46220 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$200.00 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 $200.00 1 hereby certify that the attached invoice(s),or 9/16/16 INVOICE $200.00
1203 0854 J 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
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INVOICE
Date:September 16,2016
Artist Name: 0* �(-) 1 S Z5'"O City of Carmel
O e Civic Square
Address: lu{ N .S ( yl/l�/yLCI,IN 46032
City,State,Zip Code , I S. ` co U
1
MAKE CHECK,PAYABLE TO i
PAYMENT
PRIZE LEVEL•„ DESCRIPTION TERMS, DUE DATE ;
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Carme/on Canvas Prize Award Winner
Non-Professional Division
$200 First Prize-Plein Air Paint Out
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SUBTOTAL
SALES TAX $0.00
TOTAL $200.00
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