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178534 10/26/2009
f CITY OF CARMEL, INDIANA VENDOR: 363468 Page 1 of 1 ONE CIVIC SQUARE LIFEWORKS VIDEO CREATIONS CHECK AMOUNT: $275.00 CARMEL, INDIANA 46032 11429 WESTFIELD BLDG CARMEL IN 46032 CHECK NUMBER: 178534 CHECK DATE: 10/26/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCR 902 4359003 0919 275.00 FESTIVAL /COMMUNITY EV .I i .R EWOICE LifeWorks V U Creatioms 11429 Westfield Blvd. Carmel, IN 46032 317,727.0700 Invoice 0919 Date 09 -16 -09 Client Carmel Redevelopment Commission Project Artomobilia WORK QUANTITY RATE TOTAL Capturing/Delivering Video Footage 1) $275 $275.00 Subtotal: $275.00 Sales Tax (applied to materials only): 0.00 Grand total due: $275.00 Please make check payable to Life Works Video Creations. THANK YOU! Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An in-iice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by V ,h ri, Pates per day, number of hours, rate per hour, number of units, price per unit, etc. Paye i YV qr�� 5 Y I �e��IU�S Purchase Order No. �21��,el� RIY Terms C ,r1� T!� U 3 Date Due Invoice invoice Description Amount t Date g Number (or note attached invoice(s) or bill(s)) iA r y �i Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 s,rk$ �i�rye0 _CrN�}IOhS IN SUM OF 2756� ON ACCOUNT OF APPROPRIATION FOR 0 /I Board Members PO# or DEPT, INVOICE NO. ACCT #/TITLE AMOUNT I 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 zz 0 ©9 Sign re 1 of Operations Title Cost distribution ledger classification if claim paid motor vehicle highway fund