178862 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: T358687 Page 1 of 1
ONE CIVIC SQUARE GREG SHELTON
CARMEL, INDIANA 46032 6745 W LITTLETON CHECK AMOUNT: $285.00
MCCORDSVILLE IN 46055
CHECK NUMBER: 178862
CHECK DATE: 10128/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 5448 285.00 HOLIDAY ON THE SQUARE
Invoice
October 22, 2009
Invoice To:
Mayor's Office
City of Carmel
One Civic Square
Carmel, IN 46032
Payable To:
Greg Shelton
6745 W. Littleton
McCordsville, IN 46055
Project:
Caricature Artist at Holiday on the Square Saturday, November 21,
2009 from 4:30 -7:30 p.m.
$95.00 per hour for 3 hours
Total Amount Due: $285.00
Payment due upon receipt.
Prescribed by State 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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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
IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
DEPT, INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
541kf y3 OQ3 5. pp 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
200 y
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund