304574 10/31/16 0�j��A,�y� CITY OF CARMEL, INDIANA VENDOR: 099370
ONE CIVIC SQUARE FRAME DESIGNS CHECK AMOUNT: $"•"""400.00'
•49\ ,?�; CARMEL, INDIANA 46032 506 S RANGELINE ROAD CHECK NUMBER: 304574
M«oN�, CARMEL IN 46032 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4463000 34145 15530 400.00 LIGHTING FOR PORTRAIT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
FRAME DESIGNS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
506 S RANGELINE ROAD IN SUM OF$ 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.
$400.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO#y ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
34;145-` 15530 44-630.00 $400.00 1 hereby certify that the attached invoice(s),or 10/13/16 15530 lighting for retiree portrait board $400.00
1110 101 1110 101
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
�Friday, October 21,2016
Tim Green
Chief of Police
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
Frame Designs INVOICE I voice
15530
506 S.Rangeline Rd. Page 1 of 1
Carmel IN 460.32
317-844-9066 Your framing will be ready on approximately Nov tuber 11,2016.
Bill To: � Remit To:
Tim Green Home: 571-2519 Frame Designs
City of Carmel Work: 506 S. Rangeline Rd.
CARMEL IN 46032 Cell: Camel IN 46032
Fax: 317=844=9066
Acct# Sold Ry Reference_# Terms Invoic Date
7719 10./' 3/16
Qjy Item Number Description Unit Price Ext, Price
1 /O 19386 Lighting for portrait 4400.00 400;00 400.00
Board/po#34145
Sale Amt $400.00
Tax $0.00
Order Total $400.00
Deposit $0.00
Total Due $400.00
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