180139 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
I ONE CIVIC SQUARE INDIANA STATE MUSEUM
CARMEL, INDIANA 46032 650 W WASHINGTON ST CHECK AMOUNT: $665.00
INDIANAPOLIS IN 46204 CHECK NUMBER: 180139
CHECK DATE: 121812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343007 115546 665.00 FIELD `T'RIPS
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INDIANA STATE musguM
GUEST SERVICES
650 W. Washington Street
Indianapolis, IN 46204
(317) 232 -1637
INV OICE
OICE
CUSTOMER
INVOICE N ARRIVAL DATE TIME:
CARMEL CLAY PARKS AND RECREATION `17'S546� UMKP- 112/18/2009,21:10 PM
JACOB WORE LUNCH
1235 CENTRAL DARK OR E
CARMEL, IN 46032 AQF -NT's NAME
ATTN: JACOB MOORE
SHIP TO
760 3RD AVE SW STE 100
CARMEL, IN 46032
US
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10 CAROL GRP A
A CFIRISTMAS CAROL 12/18/2009 1:40 PM 12.60 125.00
90 CAROL GRPC
A CHRISTMAS CAROL 12118/2009 1:40 PM 6 540.00
FOTAL
pAYiVIENT 665.00
�iALANCE DUE 0.00
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NO 1 9 1009 u
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Z0, /Z9 3JVd 11112Sf1W 3iVIS VNVICNI 68bZbEZLTC WET 000Z. -j*?
carm'61'r- Clay
Parks &Recreation CHECK REQUEST
Date:
Check payable to
Name: Tnvjr`uti s ee v 5'e v !22
Address: 6 5o o/ WO 54 %ncjio y e 7`
City, State, Zip L k ak i
L
Mail check to payee Return_check_to_requestor
Check Amoun S: oo Date Required
Check needed fo Tr f
To be paid from
PO (if applicable) �J
Budget account GL 3 L1 3007
Budget Line Description Fl c. Q
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): -Ta C t j �I c
Requested by (signature).
Approved b nature of Division Y i 9 son Manager):
on this date
Form revised 1.21 -08
NOV 19 2009 U
DYe
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.
r
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
11/18/09 115546 Field trip 12/18/09 CE
22936 F 665.00
Total 665.00
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.
353648 Indiana State Museum Allowed 20
650 W Washington Street
Indianapolis, IN 46204
In Sum of
665.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 115546 4343007 665.00 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
3 -Dec 2009
"AAW
Signature
665.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund