180383 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 360613 Page 1 of 1
ONE CIVIC SQUARE BOBBY JOHN LLC
CARMEL, INDIANA 46032 9589 VALPARAISO CT CHECK AMOUNT: $7,125.00
INDIANAPOLIS IN 46268
CHECK NUMBER: 180383
CHECK DATE: 12116/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
4902 4460812 121109 7,125.00 O'MALIA'S
BOBBYJOHN, LLC
9589 Valparaiso Court
Indianapolis, IN 46268
317- 870 -9900
Date: December 11, 2009
Property: 457 Third Avenue SW, Carmel, IN
City of Carmel
One Civic Square
Carmel, IN 46032
RE: 457 Third Avenue SW, Carmel, IN
MAKE CHECKS /MONEY ORDERS PAYABLE TO: BobbyJohn, LLC
Amount Amount
Date Description Amount Paid Due
1/1/2010 Rent Jan 1 Jan 31, 2010 7,125.00 7,125.00
Balance Due $7,125.00
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
644 Z_ G Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
b,
m
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in acd� rdance
with IC 5- 11- 10 -1.6. 1
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
GL IN SUM OF
<so�
ON ACCOUNT OF APPROPRIATION FOR
�oZ—/y�Z—D�1 2
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3oZ iz W6 7 /2SVn 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 of
4nature
rifle
Cost distribution ledger classification if
claim paid motor vehicle highway fund