164446 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 354308 Page 1 of 1
ONE CIVIC SQUARE ANDREA STUMPF
0 CHECK AMOUNT: $237.23
CARMEL, INDIANA 46032 1225 N ALABAMA UNIT A
o `a INDIANAPOLIS IN 46202 CHECK NUMBER: 164446
CHECK DATE: 9/30/2008
DEPARTMEN ACCOUNT PO NUMBER I NVOICE NU MBER AMOUNT DES
902 4239099 237.23 OTHER MISCELLANOUS
i
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
1, Andrea Stumpf, state that I expended the following on behalf of the Cannel Redevelopment
Commission for the Dog Day Afternoon event.
July 8, 2008 S 126.26 (Pop up tent)
TOTAL 126.26
Dated this 28 Day of September 2008.
vLw
Andrea Stumpf
Subscribed and sworn to before me, the undersigned Notary Public, this 28th day of September,
2008.
Sherry S. Mielke OTARY PUBLIC
Resident of Hamilton County, .Indiana
My Commission Expires:
November 5, 2008
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Check number 1095 cleared your account on 08/19/2008. Amount: $126.26
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ANDREA G STUMPF Account 159281
https: /see.fcfeu.com/ asp USERS/ Common/1~ramework/Framework.asp 9/22/2008
Prescribed 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
�J Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 -i3 -og 9�3b�
ahxt_t _16Z1_1 V-61 7i� D. �v
9�i3 c� 913 a 9
v o 8 E
9=0 og 913 D91 z ocju.� ho 1 /0L'/_ 1 5 3 9. d
Total 23 `7 Z
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
/10 a z.
2 3 '7 z 3
ON ACCOUNT OF APPROPRIATION FOR
�oz ya3 90?
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�13 0g,3 1 /a3 ?A'? y0,00 bill(s) is (are) true and correct and that the
9�Z 13 09' J 1 1;3`?0 11 V y materials or services itemized thereon for
gP,Z 9/06 0 which charge is made were ordered and
?0 0S Z lJa o99 39 90 received except
�a2 44,404d
Z I 20 �6
na Cost distribution ledger classification if e
claim paid motor vehicle highway fund