209066 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366258 Page 1 of 1
ONE CIVIC SQUARE BOOTH TARKINGTON CIVIC THEATRE
CARMEL, INDIANA 46032 C/O MS KATE APPEL CHECK AMOUNT: $100.00
3 CENTER GREEN STE 200 CHECK NUMBER: 209066
CARMEL IN 46032
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
'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
&00 ILA To- rk i n q 4D e, v/G Ttie� Purchase Order No.
lo M s fCa. e_ pp er
3 Cf, h Cr (�r�e n Ste- 2-04D Terms
Ca,�rn e_ l
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
,6 7- -ID Z n c) YN,L a- 5
Total D
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
lci n q -fz� c:, e�.:�i -e IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
6,6 &z-ze-hZ)
Board Members
PO# or
D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
o l 5D� -399v v�r� 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund