HomeMy WebLinkAbout203039 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE MUSEUM
CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 650 W WASHINGTON ST
INDIANAPOLIS IN 46204 CHECK NUMBER: 203039
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 19 250.00 SPECIAL PROJECTS
Indiana State Museums and Historic Sites Corporaton
INDIANA STATE
MUSEUM
CENTER FOR SCIENCE
AND CULTURE
INDIANAPOLIS
650 West Washington Street Invoice 00019
Indianapolis, IN 46204 -2725 Date: 10/14/2011
Attn: Accounting Department Customer ID: 004 -000
Phone: 232 -1631
Fax: 232 -7090
N V 0 d (3 E
Bill To: Carmel Clay Parks and Recreation
1411 E. 116th Street, Carmel, IN 46032
Quantity Unit Price Date Description Amount
1 $250.00 Image usage right to 71.986.022.0001, interurban 250.00
car and 71.987.149.0004, Hamilton County
TOTAL 250.00
Reminder: Please include the statement number on your reimbursement.
Purchase
Description X6 O N
P q0
G.L.
Bud
Line Descr 1<<; 0 C T F 10 j, f_
Purchaser Date
Approval`
Date
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.
353648 Indiana State Museum Terms
650 W Washington Street
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/14/11 19 Image use on park signage 29035 250.00
Total 250.00
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.
353648 Indiana State Museum Allowed 20
650 W Washington Street
Indianapolis, IN 46204
In Sum of
250.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1125 19 4359000 250.00 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
20 -Oct 2011
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund