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155266 01/10/2008 1 CITY OF CARMEL, INDIANA VENDOR: 360681 Page 1 of I 0 ONE CIVIC SQUARE DAVID DICKENS PHOTOGRAPHY CARMEL, INDIANA 46032 6020 S ROUTIERS AVE CHECK AMOUNT: $825.00 INOPLS IN 46259 CHECK NUMBER: 155266 CHECK DATE: 1110/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4341901 275.00 FILM DEVELOPMENT 1110 4341999 550.00 OTHER PROFESSIONAL FE I i v a Y f Dickens Compo sites (5 c design 3 17 -987 -5590 4! F `1i ry Invoice Quantity Description Misc. Unit Cost Total Cost 5 Hours On Location Photography $40.00 $200.00 10 Hours Des n Layout Production $35.00 $350.00 Labor Total $550.00 2 16 "x20" Photo Composites 3/16" Gatorboard $100.00 $200.00 15 8x10 Photo Com osites $5.00 $75.00 Total Cost $825.00 Make Check Payable t0: David Dickens Photography Mail David. Dickens Photography 6020 S. Routiers Avenue Indianapolis Ina 46259 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 David Dickens Photography Purchase Order No. 6020 S. Routiers Avenue Terms Indianapolis, IN 46259 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) p ayment for composites fo Explore 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 VOUCHER NO. WARRANT NO. ALLOWED 20 David Dickens Photography IN SUM OF 6020 S. Routiers Avenue Indianapolis, IN 46259 825.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 419201 275 bill(s) is (are) true and correct and that the 1110 419-99 550,00 materials or services itemized thereon for which charge is made were ordered and received except January 02 20 08 Signature Acting Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund