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320089 12/21/2017 �` c44yF. CITY OF CARMEL, INDIANA VENDOR: 371446 fid ONE CIVIC SQUARE ORCHARD PARK ELEMENTARY PTO CHECK AMOUNT: $*****3,000.00* 4 CARMEL, INDIANA 46032 10404 ORCHARD PARK DRIVE SOUTH CHECK NUMBER: 320089 INDIANAPOLIS IN 46280 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359000 1008 3,000.00 SPECIAL PROJECTS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 371446 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ORCHARD PARK ELEMENTARY PTO IN SUM OF$ CITY OF CARMEL 10404 ORCHARD PARK DRIVE SOUTH 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. INDIANAPOLIS, IN 46280 Payee $3,000.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 1008 43-590.00 $3,000.00 1 hereby certify that the attached invoice(s),or 12/8/17 1008 $3,000.00 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 Tuesday, December 12,2017 -� 'Y. Heck, Nancy 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Page 1 of 1 Orchard Park Elementary PTO 10404 Orchard Park South Dr Indianapolis,IN 46280 (773)5196728 - karlawalsworth@g mai l.com Otr�ard Cubs . BILL TO INVOICE 1008 Sharon Kibbe City of Carmel 1 Civic Square D•TE 12/08/2017 TERMS Net 30 Carmel,IN 46032 DUE DATE 12/31/2017 ACTIVITY OTY RATE AMOUNT Sponsorship . 1 3,000.00 3,000.00 .First Taste Sponsor TOTAL111 11 https://connect.intuit.com/portal/module/pdfDoc/template/printfrwne.html . 12/8/2017