HomeMy WebLinkAbout155325 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358711 Page 1 of 1
t' ONE CIVIC SQUARE DAVE HARDMAN
CARMEL, INDIANA 46032 ess ARROwwooD DRIVE CHECK AMOUNT: $390.00
off CARMEL IN 46033 CHECK NUMBER: 155325
CHECK DATE: 1/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 R4359003 16222 121007 390.00 ARTS DIST MAPS
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INDIANA RETAIL TAX EXEMPT PAGE
Cit Carmel;' CERTIFICATE NO. 003120155 002 0 of PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46O3Z 2564 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR f t i t SHIP
To
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 16 v. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.-- WARRANT NO..._
ALLOWED 20 l�
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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,----.,.-
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
BILL FOR SERVICES
December 10, 2007
To: Carmel Redevelopment Commission
Arts Design District Office
City of Carmel
One Civic Square
Carmel, IN 46032
Contact point person: Andrea Stumpf, Communications Manager
From: Dave Hardman
866 Arrowwood Dr.
Carmel, IN 46033
Re:
Update, revisions, edits to City of Carmel's Arts and Design District map used
for "Holiday in the Arts District" guide publication.
TOTAL: $390
P*ribed 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
(/t Y'na Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12 I u- o} 2► U U� d C)' D m .X_ewn3 i o 1 a M Ju D, o
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
VOC10HER NO. WARRANT NO.
ALLOWED 20
I dYY16k A IN SUM OF
OJ�JAV',��, W3 0 3
ON ACCOUNT OF APPROPRIATION FOR lll�
Board Members
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1Z 1U0 L135gLvu� 3qb. Uv 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
20
Signature If
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund