312915 06/26/17 ,,+u,tqq*f
a, CITY OF CARMEL, INDIANA VENDOR: 367284
ONE CIVIC SQUARE WNC OF INDIANAPOLIS LLC CHECK AMOUNT: $"""*500.00'
4? r4 CARMEL, INDIANA 46032 3969 E 82ND ST CHECK NUMBER: 312915
' INDIANAPOLIS IN 46240 CHECK DATE: 06/26/17
4 �To��.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 3911 500.00 FIELD TRIPS
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly 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.
Payee
Purchase Order No.
367284 Wine and Canvas Terms
3969 E 82nd Street
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/15/17 3911 Success on Stage Field Trip 7/18/17 41196 $ 500.00
Total $ 500.00
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_
Clerk-Treasurer
tV�z TJ`/ J�d�
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REC TV '`.
JUN 16 2017
INVOICE 391 1
o
Date:6/15/17
Attention: Leslie Wimberly �
...._ ,
Carmel Clay Parks
DESCRIPTION QUANTITY UNIT PRICE COST
Private Event Balance for 7/18/17 25 $20.00 $500.00
Thank you.
Subtotal $500.00
Price includes tax,service and supplies
Total $500.00
Please make checks payable to Wine and Canvas or Credit Cards are welcome.
Thank you,
Karmen
Wine and Canvas
3969 E.82^d Street
Indianapolis,IN 46240
wineandcanvas.com
Carmel * Clay
Parks&Recreation CHECK REQUEST
Date: r/
Check payable to: R '
�
^ I
Name: W� C all ( LIVA3 5 1() JUN 1 6 2017
r c
Address: 39(GCl L 82-arr' �Sfi'tfc BY d
City, State,Zip loo 1anacaa //\J � 2_4l
Maif check to payee `1 Return check to requestor
Check Amount:$ 590 , 00 Date Required: 7 / )
Check needed for: DOCCe-5 5- 0t SLAQfL
To be paid from:
PO#(if applicable)
Budget account-GL#
Budget Line Description f1 c hjja'.
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print):
Requested by(signature):
Approved by(signature of Division Manager):
on this date 3 — F
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/Check Request(rev 7-7-08)