HomeMy WebLinkAbout179706 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00350182 Page 1 of 1
ONE CIVIC SQUARE HUMANE SOCIETY OF HAMILTON COUNTY ECK AMOUNT: $200.00
CARMEL, INDIANA 46032 1721 PLEASANT ST, STE B CH
NOBLESVILLE IN 46060 CHECK NUMBER: 179706
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1701 4355100 200.00 PROMOTIONAL FUNDS
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HUMANE SOCIETY FOR HAMILTON COUNTY
UE��Ei� DON? �TION FORM
Name
Address �61/
City /state /Zip _90k
Daytime Phone
E -Mail �fd C'Ct l` MG'�• (G1 O y
Cash (please do not mail cash donations)
Check
Credit Card: Visa Mastercard AMEX (circle one)
Card A'
Expires
T}�pe of Gift: (check one)
General Moore Life MedicaUSu1Vivor Fund V Spay /Neuter Fund
In Memory of (name) C �jr' l
In Honor of (name)
On the occasion of
Please send ail acknowledgment of this gift to:
Please mail your tax deductible donation to:
Humane Society for Hamilton County
1721 Pleasant Street, STE B
Noblesville, IN 46060
www.liamiltonhumane.com
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 invoice(s) or bill(s))
DD,�v
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- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
n' k gux��
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
l 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund