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188552 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 354382 Page 1 of 1 t ONE CIVIC SQUARE TIFFANY PHOTOGRAPHY STUDIO CHECK AMOUNT: $604.00 CARMEL, INDIANA 46032 11299 HAZELDELL PARKWAY 'a INDIANAPOLIS IN 46280 CHECK NUMBER: 188552 CHECK DATE: 813/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 0012 604.00 OTHER CONT SERVICES Tiffany Photography Studio Invoice 11299 Hazel Dell Parkway Indianapolis, IN 46280 7/16/2010 Phone: 317 -818 -8433 Fax: 317- 818 -3551 E -Mail: tiffanyimages @gmail.com Web: tiffanyimages.com Invoice- #0012 Bill To: Ship To: No. Carmel Fire Denise Snyder Customer 1 Department ID: Carmel Fire Department Extended Family Composite: Photography, Layout, Design and Framing of 2010 Composite 30" x 43" 10 Custom 5 x 7's $16.00 each $160.00 Centerpiece 72.00 Double Matte 117.00 11 5 x 7 cut -outs of mat board 62.00 Plexiglass 48.00 Frame 145.00 i Subtotal: 604.00 Shipping: Miscellaneous: Balance Due: $604.00 Thank You VOUCHER NO. WAR NO. Tiffany Photography Studio ALLOWED 20 IN SUM OF 11299 Hazeldell Parkway Indianapolis, IN 46280 $604.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 0012 43- 509.00 $604.00 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 AUG 2 2Di0 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale 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)) 0012 $604.00 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