HomeMy WebLinkAbout303454 09/26/16 VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ROXANNE LARSON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
13753 SMOKEY HOLLOW CT IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 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 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
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Date:September 16,2016
Artist Name: TO City of Carmel
One Civic Square
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Address: rI� II Carmel,IN 46032
/3753 SeVr a ��p/ f �l6 W Ct-
City,State,Zip Code
MAKE CHECK PAYABLE TO
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PRIZE LEVELDESCRIPTIONPAYMENT DUE DATE
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Cannel on Canvas Prize Award Winner
$200 Purchase Award Winner-Restyled
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SUBTOTAL
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SALES TAX $0.00
TOTAL $200.00
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