161467 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 361524 Page 1 of 1
ONE CIVIC SQUARE MADAME WALKER THEATRE CENTER CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 617 INDIANA AVE 4TH FLOOR
INDPLS IN 46228
CHECK NUMBER: 161467
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N 'AMOUNT DESCRIPTION
1046 4343007 100 90.00 FIELD TRIPS
CarFMCI c Clay
Parks &Recreation CHECK REQUEST
Date. 1 f 0
Check payable to
Name. w r) �Ck
Address: Q t 9
City, State, Zip
Mail check to payee Return check to requestor
W
Check Amount C) 4 �4_ Date Required 1
Check needed for p C
To be paid from
PO (if applicable)
Budget account GL
Budget Line Description
Supporting documentation or receipt(s) MUST be attached. I JUN 0 2008
Requested by (print): Q oV� U�
Requested by (signature):
Approved by (signature of Division Manager)
on this date v
O
Form revised 1 -21 -08
I
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.
R Madame Walker Theatre Center
Date Due
617 Indiana Ave. 4th Floor
Indianapolis, IN 46228
Invoice AEj Description
note attached invoice(s) or bill(s)) Amount
Date 90.00
6/18/08
Total 90.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
Madame Walker Theatre Center
617 Indiana Ave. 4th Floor
Indianapolis, IN 46228 In Sum of
90.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 100 4343007 90.00 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
1 -Jul 2008
Signature
90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund