208385 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366181 Page 1 of 1
ONE CIVIC SQUARE MIDWEST ACADEMY, INC CHECK AMOUNT: $240.00
CARMEL, INDIANA 46032 801 CONGRESSIONAL BLDG SUITE 600
CARMEL IN 46032 CHECK NUMBER: 208385
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351100 2011 -928 240.00 CAR CLEANING
Midwest Academy, Inc. Invoice
801 Congressional Boulevard
Suite 600
Date Invoice
Carmel, IN 46032
4/10/2012 2011 -928
Bill To
City of Carmel
Department of Community
Services
1 Civic Square
Carmel, IN 46032
Due Date
4/10/2012
Description Amount
Mike's Express Carwash Tickets 240.00
Purchase of (30) $8 Express Washes
Total $240.00
Payments/ Credits $0.00
Balance Due $240.00
Web Site www.mymidwestacademy.org
Phone 317 843 -9500
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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))
04/10/12 2011 -928 Mike's car washes $240.00
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.
ALLOWED 20
Midwest Academy
IN SUM OF
801 Congressional Boulevard, Suite 600
Carmel, IN 46032
$240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1192 I 2011 -928 I 43- 511.00 I $240.00 1 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
Thursday, April 19, 2012
Dire t
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund