173090 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 362873 Page 1 of 1
ONE CIVIC SQUARE ADAM WILLIAMS CHECK AMOUNT: $280.00
CARMEL, INDIANA 46032 8255 CHRISTIANA LANE
INDIANAPOLIS IN 46256 CHECK NUMBER: 173090
CHECK DATE: 5/27/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOIC E NUMBER AMOUNT DES CRIPTION
1047 4341999 05062009 -CCP 280.00 OTHER PROFESSIONAL FE.
MAY
odom
d e i g n
T kV:
Adam Williams
8255 Christiana Lane
Indianapolis, IN 46256
317.657.5751
Invoice number: 05062009_CCP (Purchase Order 20845)
Date: 05 -06 -2009
Illustration
Raccon Sign
$70.00/ hour at 4 hours $280.00
Sub -Total $280.00
Total Due $280.00
`Please make checks payable to Adam Williams
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
362873 Williams, Adam Terms
8255 Christiana Lane
Indianapolis, IN 46256
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/6/09 05062009 CCP Graphic Design Outdoor A uatics 20845 280.00
Artwork design for brochures
Total 280.00
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.
362873 Williams, Adam Allowed 20
8255 Christiana Lane
Indianapolis, IN 46256
In Sum of
280.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 05062009_ccP 4341999 280.00 1 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
21 -May 2009
D
Signature
28050 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund