203043 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 365726 Page 1 of 1
ONE CIVIC SQUARE INDIANAPOLIS COLTS
s 4� CHECK AMOUNT: $200.00
s,•S•�� CARMEL, INDIANA 46032 PO BOX 535000
INDIANAPOLIS IN 46253 -5000 CHECK NUMBER: 203043
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341991 01014227 200.00 MARKETING PROMOTION
Invoice INVO104227
Indianapolis Colts Inc. Date 10/7/2011
7001 West 56th Street
Indianapolis IN 46254
Bill To:
Carmel Clay Parks Recreation
Lindsay Labas
1411 East 116th Street
Carmel IN 46032
Purchase Order �MASCOT05 Customer ID sales erson ID Appearance 'Date Pa ent Terms Due Date
IBLUE 10/20/2011 Due on receipt 10/7/2011
Description Unit Price Ext. Price
Mascot Appearance Open House for Carmel Clay Parks 20th Anniversary $200.00 $200.00
Subtotal $200.00
Misc $0.00
Tax $0.00
Total $200.00
lo•12' 11
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.
Indianapolis Colts Inc. Terms
P.O. Box 535000
Indianapolis, IN 46253 -5000
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1017111 INV0104227 Mascot for Open House 200.00
Total 200.00
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.
Indianapolis Colts Inc. Allowed 20
P.O. Box 535000
Indianapolis, IN 46253 -5000
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #TTITLE AMOUNT Board Members
Dept
1091 INVO104227 4341991 200.00 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
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund