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334049 01/04/19 CITY OF CARMEL, INDIANA VENDOR: 372228 ONE CIVIC SQUARE SHANNON GERASIMCHUK CHECK AMOUNT: $*****1,100.00* CARMEL, INDIANA 46032 1400 MARCHFIELD WAY CHECK NUMBER: 334049 COLUMBUS OH 43204 CHECK DATE: 01/04/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 R4359003 102268 1,100.00 ICE CARVER PMT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 372228 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SHANNON GERASIMCHUK IN SUM OF$ CITY OF CARMEL 1400 MARCHFIELD WAY 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. COLUMBUS, OH 43204 Payee $1,100.00 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 102268 INVOICE 43-590.03 $1,100.00 1 hereby certify that the attached invoice(s),or 12/5/18 INVOICE ICE CARVER FEE FOR FESTIVAL OF ICE $1,100.00 1203 Encumbered 101 Prior Year 1203 101 2019 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 Thursday,January 03,2019 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 INVOICE ao rb December 5, 20n To: City of Carmel From: Shannon Gerasimchuk Dept. of Community Relations 1400 Marchfield Way 1 Civic Square Columbus,OH 43204 Carmel, IN 46032 Amount: $1,100.00 Description Fee for participating in the Festival of Ice at The Ice at Center Green 1/11 to 1/13, 2019. Please make check payable to "Shannon Gerasimchuk" and give to Meg Osborne for personal delivery on 1/13/19. TOTAL AMOUNT DUE: $1,100.00