174340 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 353784 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY VESTA FOUNDATIp�
CARMEL, INDIANA 46032 FOR CHILDREN, INC CHECK AMOUNT: $5,000.00
1118WMAINST
CHECK NUMBER: 174340
CARMEL IN 46032
CHECK DATE: 7/8/2009
DEPAR AC COUNT PO NUMBE IN VOICE NU MBER AMO DE SCRIPTION
11.10 4359003 18 5,000.00 FESTIVAL /COMMUNITY EV
Hamilton County Vesta Foundation for Children, Inc. Invoice
1118 W. Main Street
Carmel, IN 46032
Invoice 18
Invoice Date: 6/22/2009
Due Date: 8/21/2009
Bill To: Project:
Carmel Police Department P.O. Number:
Date Description Amount
6/22/2009 2009 Contribution to Chaucie's Place 5,000.00
Thank you for your continued support of the multi disciplinary team Total $5,000.00
approach and Chaucie's Place!
Payments /Credits $0.00
Balance Due $5,000.00
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
Hamilton County Vesta Foundation for Child I'Parchase Order No.
1118 Wc,Main Street Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/22/09 18 annual payment 5,000.00
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
VOUNHER NO. WARRANT NO.
ALLOWED 20
Hamilton County Vesta Foundation for
CHildren, Inc. IN SUM OF
1118 W. Main Street
Carmel, IN 46032
5,000.00
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 18 590 -03 5,000. o 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
.Tune 29 2 0 09
Signature
Chief of P01ice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund