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308553 02/28/17 q ® \ CITY OF CARMEL, INDIANA VENDOR: 00350182 • ONE CIVIC SQUARE HUMANE SOCIETY FOR HAMILTON COIK AMOUNT: $**'**5,051.00* CARMEL, INDIANA 46032 1721 PLEASANT ST CHECK NUMBER: 308553 SUITE B CHECK DATE: 02/28/17 NOBLESVILLEIN 46060 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357500 100019 MARCH 5,051.00 CONTRACT PAYMENT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350182 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HUMANE SOCIETY FOR HAMILTON COUNTY IN SUM OF$ CITY OF CARMEL 1721 PLEASANT ST An invoice or bill to be property itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NOBLESVILLE, IN 46060 Payee $5,051.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Police 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 100019 March 43-575.00 $5,051.00 1 hereby certify that the attached invoice(s),or 2/14/17 March Monthly payment $5,051.00. 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 Thursday, February 16,2017 Green,Tim 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 Humane Society for Hamilton County Invoice 1721 Pleasant St., Ste B Date Invoice# Noblesville, IN 46060 3/1/2017 2070 Bill To i Ship To City of Carmel City of Carmel City of Carmel Police Department ATTN:Teresa Anderson 3 Civic Square Carmel,IN 46032 P.O.Number Terms Rep Ship Via F.O.B. Project Net 15 3/1/2017 Quantity Item Code Description Price Each Amount 1 Contract Carmel Monthly Carmel Stray/Owner Surrender Contract 5,051.00 5,051.00 Total $5,051.00