HomeMy WebLinkAbout324185 04/18/18 4�o.CSq�F
i CITY OF CARMEL, INDIANA VENDOR: 372381
ONE CIVIC SQUARE ANDREA MILLER CHECK AMOUNT: $*******100.00*
a° CARMEL, INDIANA 46032 4805 E.71ST STREET CHECK NUMBER: 324185
9M,TON_ INDIANAPOLIS IN 46220 CHECK DATE: 04/18/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GAZEBO 100.00 OTHER EXPENSES
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VOUCHER NO. WARRANT NO.
ALLOWED 20
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IN SUM OF $
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$ /00 -
ON
po -,ON ACCOUNT OF APPROPRIATION FOR
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Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
lot 60.a399'6 JOU — or 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
e" ��
20 /8f
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
znization: Approvals/Da e
e 1 e r Nancy Heck MWA {'t p-I q- 1
et: —Charlie Driver_
Adam Harrington
r4§tate,Zip:
Home Phone: j31D�o�
Cell Phone: .( )
Email Address: Urn-'111ex sa
=i j Fax Number ( )
For Profit Organization: Non-Profit organization:
Individual:
Day and Date Requested: Y^1 e - q -f-I1 b t
1� SCJ 'Q�rdQ.
Time Requested:
to: _Loa.m./�
(This includes set-up and clean-up lima)
Rehearsal Date: mer -7
a.m.0to a.m{�p.m.
City Facility Requested: Gazebo _
Fountain Area_ Japanese Garden_
Center Green Caucus Room1/3
( )_(2/3) Council Chambers
Special Requests: Electricity Fountain Restroom
Other
Purpose: V%if CJCj 1 Y G Number of People Expected:
Vendors: Yes_ No (See Item 5, City of Carmel Facility Use Policy attached)
City Street Closing: (See Item 9, City of Carmel Facility Use Policy attached)
Large or Race Events:
Neighborhood Street Closing (Street(s),Address(es)Blocked)
The Carmel Board of Public Works and Safety reserves the right, in its sole discretion,to den
any facility use request and/or revoke any previously granted request to use a Ci favi ' y
any lawful reason. City l�ty for
Received this da of
201 ,
Mayor's office .
Revised: 04/16/2011
IeN
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
1�hirm ryll- Purchase Order No.
Terms
q (,)go Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total d —
hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer