HomeMy WebLinkAbout303439 09/26/16 (9-
CITY OF CARMEL, INDIANA VENDOR: 371157
ONE CIVIC SQUARE JOHN KELTY CHECKAMOUNT: $*******500.00*
CARMEL, INDIANA 46032 11625 BUSKIRK RD CHECK NUMBER: 303439
FORT WAYNE IN 46409 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367009 092116 500.00 CARMEL ON CANVAS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
JOHN KELTY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
11625 BUSKIRK RD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
FORT WAYNE, IN 46409 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
INVOICE 3-670.09 $500.00 1 hereby certify that the attached invoice(s),or 9/16/16 INVOICE $500.00
1203x854^� 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
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Date:September 16,2016
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Artist Name:�a�}.� C�h- TO City of Carmel
/ One Civic Square
Address: Carmel,IN 46032
City,-State,Zip Code ��L
i MAKE CHEEK PAYABLE TO ;' `` � �
} PRIZE LEVEL- DESCRIPTION PAYMENT DUE DATE
t TERMS
Carne/on Canvas Prize Award Winner
$500 Quick Paint 1-First Prize
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SUBTOTAL
SALES TAX $0.00
TOTAL $500.00
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