186861 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364288 Page 1 of 1
ONE CIVIC SQUARE JULIE M HOUCK
s..�tro CARMEL, INDIANA 46032 14626 BEACON BLVD CHECK AMOUNT: $3,150.00
ti, .p CARMEL IN 46032 CHECK NUMBER: 186861
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 450.00 POSTAGE
1160 4359000 2,700.00 SPECIAL PROJECTS
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
3/26/10 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
Julie M. Houck Purchase Order No.
14626 Beacon Blvd Terms
Carmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
PA CO 201 Paintin of Japanese Garden frame postage) $3,150.00
Total $3,150.00
1 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
Julie M. Houck IN SUM OF
14626 Beacon Blvd
Carmel IN 46032
3.150.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor
4359000 Special projects
4342100 Postage
Board Members
DEPT INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
2-60 1 stmt 4359000 $2,700.()c) bill(s) is (are) true and correct and that the
'2-150) Stmt 4342100 $450.00 materials or services itemized thereon for
which charge is made were ordered and
received except
3/25 20 10
51 a ure
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INDIANA RETAIL TAX EXEMPT PAGE
C I I' C CERTIFICATE NO. 003120155 002 0 6, PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A(P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. tVENDOR NO. DESCRIPTION
t-7 S� SHIP �.Co��I�1�-
VENDOR TO
c.� U Cc.v }A
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
00 00
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T &wit a£�•. 4`F
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Send Invoice To:
00
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER_HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
Y C
SHIPPING INSTRUCTIONS I HEREBERTIFY,THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICI ENT TO PAY FOR THE ABOVE ORDER.
f
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY
SHIPPING LABELS. �r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
b A. COPY- SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._._____.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE. AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon far
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Julie M. Houck
Plein Air Artist
14626 Beacon Blvd.
Carmel, IN 46032
Email: houckj@prodigy.net
317 -705 -0126 home
317- 435 -0240 cell
Date; March 9, 2010 Client City of Carmel/ Mayor aim Brainard
Job Number(s)_PA/CO 201 Project: One 20 "x24" Impressionist
style oil painting of Carmel Japanese Garden. Frame included. Shipment of frame and
shipment of painting to Japan also included. Painting to be completed by April 15
Project Details
Description Amount
20 "x 24" Canvas oil painting $1200.0 a� d
Description Amount -C kg\
CC) ck5;
Motyka /Gold Leaf 4 1/8 inch frame $1500.0 3c 00 0
Shipping 100.0
Amount
Description w�-
e
U.S. Mail shipment to Japan $300.0
Package approx. 32 "x40"
Approximate weight 60 lbs.
Packaging
Total
$3150.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Julie M. Houck
IN SUM OF
14626 Beacon Boulevard
Carmel, IN 46032
$3,150.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 Statement 43- 421.00 $450.00 I hereby certify that the attached invoice(s), or
1160 Statement 43- 590.00 $2,700.00 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
7 Friday, June 18, 2010
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/09/10 Statement $450.00
03/09/10 Statement $2,700.00
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