324728 04/30/18 CITY OF CARMEL, INDIANA VENDOR: 371349
ONE CIVIC SQUARE ROLLFAST. INC CHECK AMOUNT: $""'""4,250.00'
CARMEL, INDIANA 46032 10630 WESTFIELD BLVD CHECK NUMBER: 324728
9MirnN.�o. INDIANAPOLIS IN 46280 CHECK DATE: 04/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359300 101269 622 4,250.00 BIKE EVENT PLANNING
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 371349 ALLOWED 20 ACCOUNTS PAYABLE-VOUCHER
ROLLFAST, INC IN SUM OF$ CITY OF CARMEL
4620 BUCKINGHAM COURT 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 46033
Payee
$4,250.00
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
101269 622 43-593.00 $4,250.00 1 hereby certify that the attached invoice(s),or 4/18/18 622 $4,250.00
1203 101 1203 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday,April 24,2018
Heck, Nancy
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Rol fast_
106301Nestfield Blvd *PLEASE NOTE:NEW ADDRESS*.
Indianapolis-111:46280
317-281-8479
Invoice
Submitted on 04,18/201$
:Invoice for- Payable,to Invoice#
City.of Carmel-
Rollfast 622
:C/0-Nancy Heck
One Civic.Squa.te Project. DUe date
Carmel 111.46032: 201.8.Bicycle Rides May 1;2018.
Description.. 'Qty : UnWorice .--Total price
Third Installment . 1 $4;250.00 $4,250:00
50:00.-
. . .. . .
$0.00
50:00
Subtotal:. . $4,250.00
Adjustments.' .
42-50. 00'
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