193241 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 353958 Page 1 of 1
1 ONE CIVIC SQUARE U S 31 COALITION, INC CHECK AMOUNT: $10,000.00
CARMEL, INDIANA 46032 ONE NORTH CAPITAL STE 1050
e� INDIANAPOLIS IN 46204 CHECK NUMBER: 193241
CHECK DATE: 12/2212010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4355300 456 10,000.00 ORGANIZATION MEMBER
.fi C� 2, Date Statement
e
5/5/2010 456
U.S. 31 Coalition, Inc.
City of Carmel
The Honorable James Brainard, Mayor
One Civic Square
Carmel, IN 46032
Description Amount
Coalition Support for 2010 10,000.00
Please make checks payable to U.S. 31 Coalition, Inc.
Total $10,000.00
The U.S. 31 Coalition is a 501(c)(6)
not -for- profit corporation.
Contributions are not deductible.
The U.S. 31 Coalition is a group of citizens, companies and elected officials who are dedicated to the upgrading of U.S. 31 to a
free flowing thoroughfare connecting U.S. 20 in St. Joseph County to I-465 in Marion County.
One North Capitol, Suite 1050 fndianapolis, IN 46204 317.522.9205 www.us3Icoalition.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
U.S. 31 Coalition, Inc.
IN SUM OF
One North Capital, Suite 1050
Indianapolis, IN 46204
$10,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1205 I 456 I 43- 553.00 $10,000.00 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
A Monday, December 20, 2010
Director, A ministration
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))
05/05/10 456 $10,000.00
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