177585 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363375 Page 1 of 1
ONE CIVIC SQUARE BRIAN'S BALLOONS CHECK AMOUNT: $250.00
o CARMEL, INDIANA 46032 704 S. BOOTS ST.
a� MARION IN 46953 CHECK NUMBER: 177585
CHECK DATE: 9/29/2009
DE ACCO PO NUMBE I NVOICE NUMBER AM DES CRIPTI ON
851 5023990 250.00 OTHER EXPENSES
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Brian's Bailoons nNOIE
704 S. Boots St.
Marion, IN 46953
Phone(219)741 -0976
INVOICE
DATE: SEPTEMBER 28, 2009
TO: FOR:
Brian Getz Balloon entertainment at Safety Day
Brian's Balloons
704 S Boots St
Marion, IN 46953
(219) 741 -0976
DESCRIPTION AMOUNT
3 hours Balloon animals /entertainment at Carmel Public Safety Day $250.00
TOTAL $250.00
Make all checks payable to: Brian Getz
Payment is due within 30 days.
If you have any questions concerning this invoice, contact Brian Getz, (219) 741 -0976
Thank you for your business!
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached or bill(s))
v �c C� e�SO oQ
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 -1vr
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VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
Aso v
ON ACCOUNT OF APPROPRIATION FOR
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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
d
M Signaturee
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund