329074 08/22/18 CITY OF CARMEL, INDIANA VENDOR: 367739
ONE CIVIC SQUARE BICYCLE INDIANA CHECK AMOUNT: $*****2,000.00*
CARMEL, INDIANA 46032 PEDAL&PARK CHECK NUMBER: 329074
sdy, 'r 242 E MARKET ST,STE 102 CHECK DATE: 08/22/18
t Rru"°O INDIANAPOLIS IN 46204
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4341999 1414 2,000.00 OTHER PROFESSIONAL FE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367739 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BICYCLE INDIANA IN SUM OF$ CITY OF CARMEL
PEDAL & PARK An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
242 E MARKET ST, STE 102 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46204
Payee
$2,000.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
1414 43-419.99 $2,000.00 1 hereby certify that the attached invoice(s),or 8/17/18 1414 IBWS Sponsor Gold Bicycle Indiana 2018 $2,000.00
1192 101 1192 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
Friday,August 17,2018
Mike Hollibaugh
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
biCyCIE Bicycle Indiana, Inc.
i in D i a n a 242 E MARKET ST STE 102
INDIANAPOLIS, IN 46204
(317)466-9701
info@bicycleindiana.org
http://www.bicycleindiana.org
INVOICE
BILL TO INVOICE# 1414
City of Carmel DATE 08/17/2018
City Hall DUE DATE 08/17/2018
One Civic Square TERMS Due on receipt
Carmel, IN 46032
ACTIVITY QTY RATE AMOUNT
IBWS SPONSOR GOLD 1 2,000.00` 2,000.00
---------------------------------------------------------------------------------------------------------------------------------------------------------------
BALANCE DUE M000.00