157179 03/05/2008 �c• CITY OF CARMEL, INDIANA VENDOR: 00353394 Page 1 of 1
ONE CIVIC SQUARE NATIONAL RECREATION AND PARK AS CRECK AMOUNT: $40.00
CARMEL, INDIANA 46032 22377 BELMONT RIDGE ROAD
ASHBURN VA 20148 CHECK NUMBER: 157179
CHECK DATE: 3/512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4469000 17974 40.00 VIDEO
I
Ajy 22377 Belmont Ridge Rd.
�p. N Ashburn, VA 20148 -4501
w ca y. Recreation 703 -858 -0784
and Park Fax 703 -858 -0794 RECD F
EB 1
info(a?nrpa.org �ooU
Association
www.nrpa.org
Y: RECEIPT
DATE: February 11, 2008
RECEIVED FROM: Michael Klitzing
AMOUN $$40
FOR: Gold Medal Video
PAYMENT METHOD: PO Number 17974
NAME ON CHECK:
NAME ON CARD: f J
I
Thank you for your purchase of the Gold Medal Winners Video
Signature: Marianne O'Riley
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
National Recreation Park Assoc.
22377 Belmont Ridge Rd. Date Due
Ashburn, VA 20148 -4501
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/08 none gold medal video 40.00
Total 40.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
National Recreation Park Assoc. Allowed 20
22377 Belmont Ridge Rd.
Ashburn, VA 20148 -4501
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
17974F none 4469000 40.00 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
29 -Feb 2008
Signature
40.00 Aeeie Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund