155548 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360659 Page 1 of 1
ONE CIVIC SQUARE V F W POST #10003
CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 34 1ST AVE NW
CARMEL IN 46032 CHECK NUMBER: 155548
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 R4359003 16221 121007 100.00 DONATION -ARTS DIST
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c 4 INDIANA RETAIL TAX EXEMPT PAGE
i C armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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Y FEDERAL EXCISE TAX EXEMPT J (r J
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 460322584 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
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SHIP
VENDOR r
TO I fir_
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
El f 'J t'
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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY a
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.1 21A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
_i
S
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
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INVOICE
Date: December 10, 2007
From:
Bill Byers
Veterans of Foreign Wars Post #10003
34 First Ave. NW
Carmel, IN 46032
TO:
Carmel Redevelopment Commission
111 West Main Street, Suite 140
Carmel, IN 46032
Description:
$100 Donation to the "Holiday in the Arts District"
Total Due $100
"r3Lcribed 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
V w ?05 0 003 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2V /U 01 U(_�>
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.
y— ALLOWED 20
V 1'• y� r t► V 0 O 5
IN SUM OF
A- Avc.
0,6A nU A I N3 q� 0 3 2
I0Q.Ob
ON ACCOUNT OF APPROPRIATION FOR
P. 6 ,I�aa�
Ll35�y3
Board Members
or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
O I Z L U 6 7 S UU 3 UO• 06 bill(s) is (are) true and correct and that the
j materials or services itemized thereon for
which charge is made were ordered and
received except
20 U�
IS ture
G, L e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund