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178844 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 355546 Page 1 of 1 ONE CIVIC SQUARE PATRICK RICHARDSON Q� 749 -A EAST DRIVE WOODRUFF PLACE CHECK AMOUNT: $300.00 CARMEL, INDIANA 46032 C o INDIANAPOLIS IN 46201 HECK NUMBER: 178844 ON CHECK DATE: 10/28/2009 D EPARTME NT AC PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 1160 4359003 5447 300.00 ENTERTAINMENT HOLIDAY Invoice October 22, 2009 Invoice To: Mayor's Office City of Carmel One Civic Square Carmel, IN 46032 Payable To: Patrick Richardson Common Stock Entertainment 749 -A East Drive, Woodruff Place Indianapolis, IN 46201 Project: Entertainment at holiday on the Square Saturday, November 21, 2009 from 4:30 -6:30 p.m. Amount Due: $300.00 Payment due upon receipt. (�k ay 40 day Tbryn �.L 5yy 74- PrescribeO,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 PO4 r'► Lk RiC"asofN Q_0MM0CN t)r�je_G f)- Purchase Order No. Play e Terms r�ao�l' '=1Q Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 C&,\ oA VWJ q o6 r-c- CC ItQove m 21 Total Qp 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 V O T UCHER NO. WARRANT NO. T ALLOWED 20 �a �"'f►P,�1�,I�.�UxrxSCl7Cn�mrnnn �'S- Frr.�- IN SUM OF W-IC4 WIN T1 OL no ON ACCOUNT OF APPROPRIATION FOR May o c —11 LA 89003 Pe,5)h va-i 4 Com m iM i �,1 EV�rt+S Board Members Po# r INVOICE NO. ACCT #/TITLE AMOUNT T. I hereby certify that the attached invoice(s), or 5yy Cp.Co 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 206`( Signa ure Cost distribution ledger classification if Title claim paid motor vehicle highway fund