186921 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
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ONE CIVIC SQUARE ANNA LEND CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 17 CONCORD CT
CARMEL IN 46032 CHECK NUMBER: 186921
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 5/30/10 200.00 ADULT CONTRACTORS
Mark Klink INVOICE
[Street Address]
[City, ST ZIP Code]
Phone [509.555.0190] Fax [509.555.0191] DATE: MAY 30, 2010
TO: SHIP TO:
Joelle Ogle Anna Leno
College Wood Elementary 17 Concord Ct.
12415 Shelborne Rd. Carmel, IN 46032
Carmel, IN 46032 3176567352
3174185267
COMMENTS OR SPECIAL INSTRUCTIONS: FOR DJ AND P.A. RENTAL SERVICES ON THE DATE OF MAY 27, 2010.
DESCRIPTION UNIT PRICE TOTAL
DJ and P.A. rental $200.00 200.00
JUN 0 4 1010
7-' o....._......
Make all checks payable to ANNA LENO
If you have any questions concerning this invoice, contact
MARK KLINK
317.201.1529
2109 N. ROSEWOOD AVE.
MUNCIE, IN
Thank you for your business!
purchase 1 n �rtiV
Description
P.O. A l l p orc
G .L.
Budget
Une Descr
Purchaser
Date
APPS Date
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.
Leno, Anna Terms
17 Concord Ct
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5130110 5130110 DJ PA CW 5127110 23511 200.00
Total 200.00
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.
Leno, Anna Allowed 20
17 Concord Ct
Carmel, IN 46032
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1081 -3 5/30110 4340800 200.00 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
17 -Jun 2010
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund