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183449 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 355631 Page 1 of 1 ONE CIVIC SQUARE THE SCULPTURE FOUNDATION, INC CARMEL, INDIANA 46032 2525 MICHIGAN AVE GALLERY A-6 CHECK AMOUNT: $213,500.00 SANTA MONICA CA 90404 «oa CHECK NUMBER: 183449 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 504 4355100 2483B 213,500.00 PROMOTIONAL FUNDS INVOICE DATE: Tanuary 1", 2010 INVOICE 2483B ARTIST: T. Seward Johnson, Jr. DESCRIPTION: Purchase of eleven sculptures for the city of Carmel PURCHASED BY: The City of Carmel, Indiana City Hall One Civic Square Carmel, IN 46032 Attn: Mayor Jim Brainard AMOUNT DUE THIS INVOICE: $213,500 PAID TO DATE: $55Z000 TOTAL: $979,000 PLEASE REMIT DIRECTLY TO THE SCULPTURE FOUNDATION 2525 Michigan Avenue Gallery A -6 Santa Monica, CA 90404 t 310 264 2400 f 310 264 2403 INVOICE NUMBER 2 OF 3 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) :A ACCOUNTS PAYABLE VOUCHER 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 The Sculpture Foundation Purchase Order No. 2525 Michigan Avenue Gallery A--6 Terms Santa Monica, CA 90404 Date Due Invoice Invoice Description Amount Date Number. (or note attached invoice(s) or bill(s)) J/1/10 2483B Annual sculpture payment $213,500.00 Total $213,500 .00 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. ALLOWED 20 The Sculpture Foundation IN SUM OF 2525 Michigan Avenue, Gallery A -6 Santa Monica, CA 90404 55 213,500.00 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT I hereby certify that the attached in v oice(s), or 2483E $213 500 obill(s) is (are) true and correct and that the 3 S 5( materials or services itemized thereon for which charge is made were ordered and received except 2/19 2010 z f Sig t e Cost distribution ledger classification if Title claim paid motor vehicle highway fund