176428 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 355615 Page 1 of 1
ONE CIVIC SQUARE SCHWARTZ BAIT AND TACKLE CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 118 CICERO ROAD
"hun to NOBLESVILLE IN 46060 CHECK NUMBER: 176428
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4341970 264 100.00 CANOE RENTAL
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r� Invo ice
1 x DATE INVOICE
e�oaL E�r�inxn 8/5/2009 264
City Of Carmel Schwartz's Bait and Tackle
White River Canoe Company
118 Cicero Rd
Noblesville, In 46060
DUE DATE'.y P O'r NUMBER
f
9/4/2009
2 DESCRIPTION QTY RATE `AMOUNT
Canoe Canoe Rental 4 100.00
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V,� 0
Subtotal 100.00
0% Tax
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Prescribed by State Board of Accounts City Form No. 291 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
8/-17/09 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
h
S chwartz's Purchase Order No.
t
4 18 Cicero Rd Terms
N oblesville IN 46060 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/5/09 264 Canoe Rental— Filming water shots for future use for $100.00
videos brochures
Total $100.00
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.
8/17/09
ALLOWED 20
Schwartz's IN SUM OF
118 Cicero Rd
Noblesville IN 46060
100.00
ON ACCOUNT OF APPROPRIATION FOR
1160 mayor 4341970
Cable channel productions
Board Members
EP or
DEPT. INVOICE NO ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
264 4341970 $100.00 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 D
A ISI gn u e
h^ Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund