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177473 09/22/2009 CITY OF CARMEL, INDIANA VENDOR: 362527 Page 1 of 1 it ONE CIVIC SQUARE CENTRAL INDIANA DANCE ENSEMBLE CARMEL, INDIANA 46032 1142 LINDEN LANE CHECK AMOUNT: $3,500.00 CARMEL IN 46032 CHECK NUMBER: 177473 CHECK DATE: 9/22/2009 DEPART ACCOUN PO N UMBER INVOICE NUMBER AM DES CRIPTION 504 4355101 529 3,500.00 SUPPORT FOR THE ARTS 9.. Cerarafludi tia Dance Erfsox6re, I= I n voi ce a 50!(ar3)rmz:fr-profit izati= Date Invoice 7 dambcroffgiondGarecu Ana rkm9did-, StatarB�etA $Soriatnn— Yro for omparr7 9/16/2009 529 Bi1I7o Carmel City Council Carmel Arts Funding One Civic Square Carmel, IN 46032 Terms Description Amount City of Carmel Grant Funding for the Arts 3,500.00 Payments /Credits $0.00 Central Indiana Dance Ensemble is a 501(c)(3) organization. Balance Due $3 9500.00 Prescribed by State Board o�ccounts,� City Form No. 201 (Rev. 1995) sffff ACCOUNTS PAYABLE VOUCHER 9/17/09 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 entral Indiana Dance Ensemble, Inc. Purchase Order No. 1 142 Linden Lane Terms C armel IN 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/16/09 529 City of Carmel Grant Funding for the Arts $3,500.00 Total $3,500.00 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. 9/17/09 ALLOWED 20 Central Indiana Dance Ensemble Inc. IN SUM OF 1142 Linden Lane Carmel IN 46033 _3,500.00 ON ACCOUNT OF APPROPRIATION FOR 504 Support for the Arts Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 529 504 $3,500. 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 'F// 7 206 Si ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund