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186270 06/09/2010 *R CITY OF CARMEL, INDIANA VENDOR: 363002 Page 1 of 1 ONE CIVIC SQUARE T J DECKARD CARMEL, INDIANA 46032 426 CARDINAL GLEN DRIVE CHECK AMOUNT: $350.00 BLOOMINGTON IN 47401 e CHECK NUMBER: 186270 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340800 201002 350.00 ADULT CONTRACTORS T.J. Deckard I nvoice 426 Cardinal Glen Drive Date Invoice Bloomington, IN 47401 5/14/2010 2010 -02 R Bill To r Carmel Clay Parks and Recreation Purchase 1411 E. 116th Street Carmel, IN 46032 Deseriptlon P.O. i out G,t. 10 'D �13y0� Budget (��a C� \01AEA Lines Desct Purchaser Approval flate 1— P.O. Number Terms Due on receipt Quantity Item Code Description Price Each Amount 2 Water Slide Rental Water Slide Rental 175.00 350.00 Sesv \cu S. Z1. 10 SUN 0 )�o Purchase Description P.O.# PorF G.L. Budget Line Descr Purchaser Date Approval Date Total $350.00 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. Terms Deckard, T.J. 426 East Cardinal Glen Drive Bloomington, IN 47401 ggEiij Description PO Amount e attached invoice(s) or bill(s)) 350.00 tal 5127110 Total 350.00 I hereb y 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. Deckard, T.J. Allowed, 20 426 Cardinal Glen Drive Bloomington, IN 47401 In Sum of 350.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -5 201002 4340800 350.00 1 hereby certify that the attached invoice(s), or 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 3 -Jun 2010 Signature 350.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund