209024 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366249 Page 1 of 1
ONE CIVIC SQUARE CANDACE ADAMS
0 CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 C/O ESE
CHECK NUMBER: 209024
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 100 200.00 ADULT CONTRACTORS
5 Invoi
Sweets Treats Enterainment Date: May 11, 2012
Co2h5
an a�u Dr. ,190LL-LI-)
J 4 LP 2-D 9 Invoice 100
t%� ���L� Custom r ID: 312
To: Deneyse Solazzo
Carmel Clay Parks
Purchase
300 S Guilford Rd
Description
Carmel, In 46032 P.O. (1 U L7 z� c>) P
317 698 -7950
G.L.
Bud et
I Purchaser. Date
ICandace Adams Delivery 6/22/12
Approval_ Date --_'I
a a•
;1.00 jDunk Tank 200.00 200.40
i
S
-tee_ __._y__- _._-s
;If you have any questions Please call Candace at 317 447 -3143
j
This invoice is a total price without taxes
Subtotall v 200.00
Sales Tax!
Total 200.00
Al l:r all dhecl.r pav,ibikk I, JCandacc s d iM-
Thank lou f
candace7971 CaDyahoo.com
Ca t Carmel ®Clay
Parks &Recreation CHECK REQUEST
J
Date: May 11, 2012
Check payable to
Name: Candace Adams
Address: Co' Z (05 S CLln d-q,
City, State, Zip A d -L0-yjct- -p 6 Qw JY) 4 (D2LP S
Mail check to payee _x Return check to requestor
Check Amount 200 Date Required June 22, 2012
Check needed for Carmel Vacation Station Vendor
To be paid from
PO (if applicable) o OS
Budget account GL 4340800 1082 -1
Budget Line Description Vendor
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): ene- se- Solazz
Requested by (sig
Approved by (signature of Division Manager):
on this date 4: 9 r I z--
Form revised 7 -7 -08 Shared Forms Business Services Check Request Form Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Adams, Candace Terms
6265 Sandyside Dr., South
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/11/12 100 Carmel Vacation Station 6/22/12 200.00
Total 200.00
1 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.
Adams, Candace Allowed 20
6265 Sandyside Dr., South
Indianapolis, IN 46268
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1082 -1 100 4340800 200.00 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
17 -May 2012
12
Signature
i s 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund