186950 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 363112 Page 1 of 1
ONE CIVIC SQUARE �a CARMEL, (INDIANA 46032 10761 CORNERSTONE n FCOURT CHECK AMOUNT: $550.00
INDIANAPOLIS IN 46280
�o CHECK NUMBER: 186950
CHECK DATE: 6/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 1 550.00 ADULT CONTRACTORS
Cann a QP
P&lm RecmaH6h CHECK REQUEST
Date: 3 -16 -10 //j
juN -f k 2010 r a
Check payable to t
Name: Tanya Muchnik
Address: 10761 Cornerstone Court
City, State, Zip Indianapolis, IN 46280
Mail check to payee X Retum check to requestor
Check Amount $550.00 Date Required 6/28/10
Check needed for: Vendor Payment for Face Painting campers for Vs Summer Camp
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 16 D Budget Line 4340800
Budget Line Description vendor /program contractors
Requested by (print): Valeska J. Simmonds
Requested by (signature):
V
Approved by (signature of Division Manager):
on this date
Tanya IMuchniK INVOICE
10761 Cornerstone Court
Indianapolis, IN 46280
(317) 815 -1161
INVOICE #1
DATE: FEBRUARY 12, 2010
TO: CARMEL CLAY PARKS AND RECREATIN FOR: FACE PAINTING
Attn: Ben Johnson Vacation Station Cinema Central
1411 E 116 Street June 28"' 2010 s,�
Carmel In, 46032
JUN X010
DESCRIPTION HOURS DATE AMOUNT
Face Painting at Clay Middle School 3 6/28/10 $275.00
Face sainting at Creekside Middle School 3 6/28/10 $275.00
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Descriptlorl
P.O. S for F
D.t. 0 k1S1 1— h
Bud at
UneTeW. w
PU1ChA8K' Date c
Appr" Date /o
TOTAL $550.00
Make all check payable to Tanya Muchnik
Signature of Service Provider:
Thank you for your business!
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.
363112 Muchnik, Tatyana Terms
10761 Cornerstone Court
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/12110 1 Vacation Station 6128110 23299 550.00
Total 550.00
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.
363112 Muchnik, Tatyana Allowed 20
10761 Cornerstone Court
Indianapolis, IN 46280
In Sum of
550.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 1 4340800 550.00 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
16 -Jun 2010
Signature
550.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund