173526 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: T358102 Page 1 of 1
ONE CIVIC SQUARE ROTARY CLUB OF CARMEL
CARMEL, INDIANA 46032 ATTN MIKE MCCLOUGHAN CHECK AMOUNT: $600.00
P 0 BOX 546
o CHECK NUMBER: 173526
CARMEL IN 46082
CHECK DATE: 6110/2009
DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
1160 4359003 STMT 600.00 FESTIVAL /COMMUNITY EV
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INVOICE
To: City of Carmel
1 Civic Square
Carmel, In. 46032
ATTENTION: Michelle Krcmery
May 27, 2009
2nd Table for 8 at Rotary Club of Carmel's Freedom Ball
Saturday, June 27th 2009 at The Ritz Charles, Carmel.
Named "City of Carmel" $600.00
Please remit to
Rotary Club of Carmel
c/o Cherie Piebes
10887 Wilmington Drive
Carmel, IN 46033
4" Y Vx.�
Prescrib6Z by State Board of Accounts City Form No. 201 (Rev. 1995)
4 ACCOUNTS PAYABLE VOUCHER
6/8/09 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
Rotary Club of Carmel Purchase Order No.
c/o Cherie Piebes
10887 Wilmington Dr. Terms
Carmel IN 46033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/27/09 Stmt 2nd table for 8 at Rotary Club Freedom Ball Sat. June
27th $600.00
Total $600.00
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
VOUCHER NO. WARRANT NO.
6/8/09
ALLOWED 20
Rotary Club of Carmel
c/o Cherie Piebes IN SUM OF
10887 Wilmington Dr.
Carmel In 46033
600.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4359003
Festival Comm unity Events
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Stmt 4359003 $600.00 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
Sig re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund