161049 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 361427 Page 1 of 1
~f ONE CIVIC SQUARE REBIRTH PROJECT CHECK AMOUNT: $1,000.00
CARMEL, INDIANA 46032 PO BOX 4458
roe CARMEL IN 46082 CHECK NUMBER: 161049
CHECK DATE: 6/25/2008
DEPARTMENT ACC OUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359000 1,000.00 SPECIAL PROJECTS
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The Rebirth Project... Breaking Inviolable Ground Date: June 18, 2008
INVOICE 1005
To Kim Kauffman Ship To Kim Kauffman
The City of Carmel The City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
317- 571 -2495 317 -571 -2495
CRM001 �y C RM001
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Barbara j Due on receipt
1 TBL Table of 8 3000.00 2000.00 1000.00
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Total Discount
Subtotal 1000.00
Sales Tax 0.00
Total 1000.00 J
Mahe all i ie ks payable to The Rebirth, Project
Thank you for your business!
Prescribed by-State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
6/23/08 CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
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whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
The Rebirth Project Purchase Order No.
P. 0. Box 4458 Terms
Carmel IN 46082 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/18/08 #1005 The B.I.G. Gala Table o
To benefit "The Rebirth Project"
Total
1 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.
6/23/08
ALLOWED 20
The RPhirth Project IN SUM OF
P. 0. Box 4458
Carmel IN 46082
1,000.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors 4359000
Special Projects
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
#1005 4359000 $1,000. 00 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
�4gnature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund