319615 12/12/2017 ,C4q
a`•! .__ �. CITY OF CARMEL, INDIANA VENDOR: 370216
ONE CIVIC SQUARE CHRISTINE PAULEY CHECK AMOUNT: $********38.00*
CARMEL, INDIANA 46032 87 11TH ST NW. CHECK NUMBER: 319615
CARMEL IN 46032 CHECK DATE: 12/12/17
4 ETON
.cer
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER_ AMOUNT„ DESCRIPTION
1701 4355100 11512237835 38.00 PROMOTIONAL FUNDS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 370216 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHRISTINE PAULEY IN SUM OF$ CITY OF CARMEL
87 11TH ST NW An invoice or 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.
CARMEL, IN 46032
Payee
$38.00
ON ACCOUNT OF APPROPRIATION FOR
Purchase Order#
Clerk Treasurer 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
11512237835 43-551.00 $38.00 1 hereby certify that the attached invoice(s),or 12/7/17 11512237835 PALLADIUM TRIVET $38.00
1701 101 1701 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
Monday, December 11,2017
Quinn,Jacob
Deputy Clerk of City Business
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
Pre'. 5e -State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No.201(Rev.199
CITY OF CARMEL
An invoice or 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
hri S Pau Purchase Order No.
Terms
l,umel Zoo 403-&- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I . �51aa378 ldJ ,-J-9- mofona1 38-00
Total $•�
I hereby certify that the attached invoice(s), or bill(s), is (are) ue d correct an I h audited same in accor-
da a th IC 5-11- 0-1.6.
20j?� r
Clerk-Tr asurer
Basile Gift Shop
On Center Green
Camel,IN 46032
317-819-3524
Momhant M,000022961946
12102/17 06.06 PM
Station ID: I Trans 10: 11512237835
SALE -
Palladium Trivet/Marble $38.00
Subtotal:
Sales Tax 7.000/o:
Total: $40.66
Credit Card $40.66
Change: .10.00
,# Of Items Sold: 1
Card Type. VISA
Account plumber:* 3090
Appr Code: 712050
RefNum-, 251.800001
Entry: CHIP
AuthCode: 712050
AID: A000000O031016
TVR: 8000008000
IAD: 0601OA03608000
TSI: 7800
ARC- 00
CVM: SIGN
III III it I I'�Illl�llli
11512237815