HomeMy WebLinkAbout156324 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: T358687 Page 1 of 1
ONE CIVIC SQUARE. GREG SHELTON
CARMEL, INDIANA 46032 6745 W LITTLETON CHECK AMOUNT: $95.00
MCCORDSVILLE IN 46055 CHECK NUMBER: 156324
CHECK DATE: 2/6/2008
DEPARTMENT ACCOU PO NUMBER INV N AMOUNT DESC
I
1160 R4359003 16223 123107 95.00 ART FEES -2008 HOLD IN
FROM PHONE NO. Dec. 31 2007 01:41PM P1
i
INVOICE 123107
Sold TO:
ANdREA STUMPF
CARMEL REdEVEIOpMENT COMMISSION
111 W. MAIN STREET
SUITE 140
CARMEL, IN 46032
ONE AddITiONAI HOUR OF CARICATURES $95.00/ HOUR.
DECEMBER 22, 2007 (4:00pM- 5 :00pM) WINTER FESTIVAL
AT MAIN ANd RIdgEIINE.
TOTAL: $95.00
PAY TO:
GREG ShEITON
6745 W. HTTIETON DRIVE
MCCORdSVAIE, IN 46055
TAYMENT TO bE MAdE WITlAiN 10 dAys, PLEASE.
INDIANA RETAIL TAX EXEMPT PAGE
City,.of Carmel CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 7
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 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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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Y
Send Invoice To:
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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
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 2 2 3 A.P.v. COPY -SIGN AND RETURN TO CLERK'S OFFICE
1/OUCHIER NO. WARRANT NO.___
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR i
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
Prescri4d 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
1 6 n Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total g5, O b
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.
ALLOWED 20
IN SUM OF
7 X15 L n J>.
w 16 055
9 5,00
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
DEPT INVOICE NO. ACCT #/TITLE AMOUNT 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
r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund