HomeMy WebLinkAbout204181 12/06/2011 t
CITY OF CARMEL, INDIANA VENDOR: 354471 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY PUBLIC LIBRARY
CARMEL, INDIANA 46032 55 4TH AVE SE CHECK AMOUNT: $100.00
CARMEL IN 46032
CHECK NUMBER: 204181
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4355100 100.00 PROMOTIONAL FUNDS
Special Appeal Campaign: "Ready... Set... Read!" Program
)port the Carmel Clay Public Library with an end of the year gift of
Q Gift Categories
El $].,000 o 50 35 Ready... Set... Read! Program Technology
Collections
500 $100 donor plaque level Other: Other area:
it method: heck Visa MasterCard Card Exp Date:
In card: Si nature:
r Name: t >QA tom,
°ss: l VIC, City: Carmel. State:IN Zip: 46033
Ema il: af C_'.OrAVr -4, e C'.4prytd fit !�Oy
list your name(s) as you would like to be publicly recognized:
y employer has a matching gift program. My form is enclosed. I will send the form.
ease send me information about endowment opportunities. Please make check payable to:
vould like IRA charitable tax break information for 70 'fa or over. (expires Dec. 31, 2011). Carmel Clay Public Library Foundation
lave remembered Carmel Clay Public Library Foundation in my estate planning. a non-pro lit c organza
to not wish to have my name publicized. All Contributions are tax deductible to the extent
tel Clay Public Library Foundation does not share any donor information with other organizations. provided by law Tax M 31- 1787253
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
/r
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
l I
Total
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
5� IMP, 6
0 M 4(ooa
ON ACCOUNT OF APPROPRIATION FOR
oj
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
A).
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund