HomeMy WebLinkAbout305737 12/02/16 CITY OF CARMEL, INDIANA VENDOR: 366267
® �1 ONE CIVIC SQUARE ASHLEY ULBRICHT CHECK AMOUNT: $********22.00*
d. � CARMEL, INDIANA 46032 433 AUTUMN DRIVE CHECK NUMBER: 305737
vM�foN CARMEL IN 46032 CHECK DATE: 12/02/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 22.00 FESTIVAL COMMUNITY EV
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ASHLEY ULBRICHT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
433 AUTUMN DRIVE IN SUM OF$ 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.
$22.00 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
RECEIPT 43-590.03 $22.00 1 hereby certify that the attached invoice(s),or 11/30/16 RECEIPT $22.00
1203 101 1203 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
Wednesday, November 30,2016
Nancy Heck
Director
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
I NBIZ
Payment Confirmation Number:9098596765
Receipt Date: 11/30/2016
Ashley Ulbricht
433 Autumn Drive
Carmel,IN,46032
The following are the details of your transaction(s)submitted:
Transactions details:
Name Transaction Description Filing Agency Created Date Amount
CARNIEL PORCHFEST Business Entity Report Secretary of the 11/30/2016 $21.00
INC. State
Total Amount $21.00
Convenience Fee Charged $1.00
Grand Total $22.00
Payment Type Credit Card