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188269 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 353916 Page 1 of 1 ONE CIVIC SQUARE CARMEL FLORIST LLC CHECK AMOUNT: $112.50 CARMEL, INDIANA 46032 620 N RANGELINE ROAD CARMEL IN 46032 CHECK NUMBER: 188269 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 112.50 OTHER EXPENSES L �y INVOICE Date: July 29, 2010 Sold to: City of Carmel Police Department 3 Civic Square Caravel, IN 46032 Flowers Audrey Green TOTAL AMOUNT DUE: $112.50 Please make check payable to: Carmel Florist 620 N. Rangeline Road Carmel, IN 46032 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 Carmel Florist Purchase Order No. 620 N. Rangeline Road Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/29/10 a. ent for flowers for Audrey Green 112.50 Total 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 VOUQHER NO. WARRANT NO. ALLOWED 20 Carmel Florist IN SUM OF 620 N. Rangeline road Carmel, 1N 46032 112.50 ON ACCOUNT OF APPROPRIATION FOR police gift:-. fund Board Members Po# or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 852 852 112.50 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 July 29 20 10 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund