187738 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00353303 Page 1 of 1
ONE CIVIC SQUARE CARMEL ROTARY CLUB
CARMEL, INDIANA 46032 PO BOX 546 CHECK AMOUNT: $440.00
;yo CARMEL IN 46082
CHECK NUMBER: 187738
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 07042010 440.00 8 SEATS FREEDOM BALL
Joseph M. Kempler
12939 Grenville Street DATE: June 21, 2010
Carmel, IN
317 -523 -6405 FOR: Freedom Ball 2010
Bill To:
City of Carmel L
DESCRIPTION AMOUNT
Table of 8 at Carmelfest Red, White Blue Freedom Ball 440.00
Red, White Blue Free do m B all Registration Form
Name: l 11 DT s7 11V���1
Address:
City/State/Zip: C-6-` YYVP JI IV }3 L
Telephone:
Email: YY} r «Yl .f ffyJ i n pV
Y Please Reserve seas at $55.00 each
Y Check enclosed MasterCard/ Visa(Circle One)
Credit Card No. Exp.
Name as it appears:
Security Code:
TOTAL 440.00
Make all checks payable to Carmel Rotary
0 4-D L155c1603
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Rotary
IN SUM OF
P. O. Box 546
Carmel, IN 46082
$440.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 Invoice 43- 590.03 $440.00 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
Thursday, July 15, 2010
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 'i995)
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))
06121/10 Invoice $440.00
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