320071 12/21/2017 �. CITY OF CARMEL, INDIANA VENDOR: 367197.
ONE CIVIC SQUARE KIM GRAHAM CHECK AMOUNT: $'""***100.00*
as" CARMEL, INDIANA 46032 PO BOX 186' CHECK NUMBER: 320071
LEBANON IN 46052 CHECK DATE: 12/21/11
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 71 100.00 FESTIVAL COMMUNITY EV
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367197
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
_
KIM GRAHAM IN SUM OF$ CITY OF CARMEL
PO BOX 186 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.
LEBANON, IN 46052
Payee
$100.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations Terms
Date Due
h
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
71 43-590.03 $100.00 1 hereby certify that the attached invoice(s),or 8/25/17 71 $100.00
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
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MV ICE
In
voiice No.0071..
DESCRIPTION OF WORK ; .. QTYIHRS UNIT PRICE, .. SUBTOTAL'.
:.I
Caricatures for 2nd.'Saturday Gallery.lNalK(:December.9,-20:17) '_ 3hrs :: $23:33/tir- .$70600-.-.
Face Painting .for 2nd.Saturday.Gallery Walk(December 9, 2017 - 3hrs; +$10.00. . $30.0.0
CPLY
,. ' $100:00 .., .
'GRAND TOTAL
PAYMENT TERMS BILLED TO
To be.made.payable,to First name,Last name
The-City.of Carmel.
ADDRESS .
P.Q.Bo)(186 Lebanon,IN 46052