207081 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 119775 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY ALLIANCE
CHECK AMOUNT: $20,000.00
CARMEL, INDIANA 46032 10333 N MERIDIAN ST
SUITE 110 CHECK NUMBER: 207081
INDIANAPOLIS IN 46290
CHECK DATE: 3113/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
903 5023990 3/8/12 20,000.00 DONATION
INVOICE
Date: March 8, 2012
From: Hamilton County Alliance
10333 North Meridian Street
Suite 110
Indianapolis, Indiana 46290
To: Ms. Luci Snyder
Carmel City Council
Chairperson Finance, Administration and Rules Committee
Re: Supplemental Appropriation 2012
Total Due: $20,000.00
Thank You
Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
'n Payee
f V l Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ap co
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.
I ALLOWED 20
R IN SUM OF
�tok tfi1D
ON ACCOUNT OF APPROPRIATION FOR
q0 v PICKI
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
20
o
ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund