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182272 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 360613 Page 1 of 1 BOBBY JOHN LLC ONE CIVIC SQUARE B 0 j CHECK AMOUNT: $7,125.00 CARMEL, INDIANA 46032 9589 VALPARAISO CT INDIANAPOLIS IN 46268 CHECK NUMBER: 182272 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4460814 20910 7,125.00 STREET DEPT FACILITY BOBBYJOHN, LLC 9589 Valparaiso Court Indianapolis, IN 46268 317- 870 -9900 Date: February 9, 2010 Property: 457 Third Avenue SW, Carmel, IN City of Carmel One Civic Square Carmel, IN 46032 RE: 457 Third Avenue SW, Carmel, IN MAKE CHECKSIMONEY ORDERS PAYABLE TO: BobbyJohn, LLC Amount Amount Date Description Amount Paid Due 3/1!2010 Rent Mar. 1 Mar 31, 2010 7,125.00 7,125.00 Balance Due ,Y: $7,,125.00 y 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 snow: 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 T56, LLB' Purchase Order No. 95 9 _?!2 rf Cc'elk Terms 4/- /�v G2� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2 G l�2a� /6 P 7c TAr rjez l t�U /D P /`r T Y Total 7 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. f= ALLOWED 20 LL,C IN SUM OF a ,z /2 b ON ACCOUNT OF APPROPRIATION FOR Board Members PD# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certi that the attached invoice(s), or 7125.�e5l 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 gnature Cost distribution ledger classification if Tit e claim paid motor vehicle highway fund