175629 08/06/2009 f CITY OF CARMEL, INDIANA VENDOR: 00351326 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY HISTORICAL SOCIETY CHECK AMOUNT: $4,100.00
CARMEL, INDIANA 46032 211 FIRST STREET SW
CARMEL IN 46032 CHECK NUMBER: 175629
CHECK DATE: 816/2009
DEPARTMENT A CCOUNT PO N INVOI NU MBE R AM DESCRIPTION
1160 4359000 114 4,100.00 SPECIAL PROJECTS
Y3 o c U
Carmel Clay Historical Society Invoice No. 114
211 First Avenue S. W.
Carmel, IN 46032
IIVV ®ICE
Customer Misc
Name City of Carmel Date 7/27/2009
Address One Civic Sq Order No.
City Carmel State IN ZIP 46032 Rep
Phone 571 -2483 FOB
Qty Description Unit Price TOTAL
1 Holiday Home Tour Expense 4,100.00 4,100.00
SubTotal 4,100.00
Shipping
Payment Tax Rate(s)
Comments TOTAL 4,100.00
Name
CC Office Use Only
Expires
Thank you for your support
Pres •ribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
8/3/09 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
C armel Clay Historical Society Purchase Order No.
2 11 First Ave. SW Terms
C armel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/27/09 114 Holiday Home Tour Expenses $4,100.00
Total $4,100.00
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.
1 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
8/3/09
ALLOWED 20
Carmel Clay Historical Society
I N SUM OF
211 First Ave SW
Carmel IN 46032
4,100.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4359000
Special Projects
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
114 4359000" $4,100.00 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
3 20()l
�1
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund