191591 11/10/2010 r CITY OF CARMEL, INDIANA VENDOR. 363206 Page 1 of 1
0 ONE CIVIC SQUARE BLAIR CLARK CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 PO BOX 4104
CARMEL IN 46082 CHECK NUMBER: 191591
CHECK DATE: 1111012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 500.00 OTHER EXPENSES
Invoice
November 3, 2010
Invoice To:
:Mayor's Office
City of Carmel
One Civic Square
Carmel, IN 46032
Payable To:
Blair Clark
836 E. Auman Drive
Carmel In 46032
Project:
Entertainment at Holiday on the Square Saturday, November 20, 2010
Total Amount Due: $500.00
Payment due upon receipt.
V
VOUCHER NO. WARRANT NO.
ALLOWED 20
Blair Clary IN SUM OF
836 E. Auman Drive
Carmel, IN 46032
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
1160 Mayor's Office #854
Gift Fund
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Invoice #854
$500-00 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
Al
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/3/1 Invoice Entertainment Holiday on Square $500.00
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
1 20
Clerk- Treasurer