168779 02/05/2009 f CITY OF CARMEL, INDIANA VENDOR: 355631 Page 1 of 1
i•� 0 ONE CIVIC SQUARE THE SCULPTURE FOUNDATION, INC CHECK AMOUNT: $213,500.00
/p° CARMEL, INDIANA 46032 2525 MICHIGAN AVE GALLERY A-6
SANTA MONICA CA 90404 CHECK NUMBER: 168779
CHECK DATE: 2/5/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4355101 2483 213,500.00 SUPPORT FOR THE ARTS
r
C U`s 9 0C )F
�a1
INVOICE
DATE: January 1St, 2009
INVOICE 2483
ARTIST: T Seward Johnson, Tr
DESCRIPTION: Purchase of eleven sculptures for the city of Carmel
PURCHASED BY: The City of Carmel, Indiana
City Hall
One Civic Square
Carmel IN 46032
Attn: Mayor Tim Brainard
AMOUNT DUE THIS INVOICE: $213,500
PAID TO DATE: $338,500
TOTAL: $979,000
PLEASE REMIT DIRECTLY TO
THE SCULPTURE FOUNDATION
2525 Michigan Avenue Gallery A -6
Santa Monica, CA 90404
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.
cc"- Payee
Y h e Sic, J p4 L4L r e. Fb1. ma Purchase Order No.
a5 a s 1�/�iG1,.cc PrV- ►�t.._e Gtll�r� �A
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
o 10j ok :k4'15 a 3 so dL. Iw 14A.w06- ad A 3
Total k ,1-13 5OD
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
2
IN SUM OF
t Z t ke "J 1 4 (o
nb 04o
3,
ON ACCOUNT OF APPROPRIATION FOR
qoz-
Board Members
PO# EP or
DEPT. INVOICE NO. ACCT #!TITLE AMOUNT
T. I hereby certify that the attached invoice(s), or
w 93 3RD,fir a1 3,Svn 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 1
Si at ure 0
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund