209131 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366268 Page 1 of 1
ONE CIVIC SQUARE FAIR OAKS FARMS CHECK AMOUNT: $124.00
CARMEL, INDIANA 46032 856 N 600 E
FAIR OAKS IN 47943 CHECK NUMBER: 209131
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 100 124.00 FIELD TRIPS
Purchase
Fair Oaks Farms 02
Date: mov 10, 2012
Every ovvExtraordinary a et Invoice [l0N
i___
~p,'~`~--'
MAY l 3O�y
To: Carmel Clay &V
xo|ompeoon Job Payment Terms Due Date
lLeslie Rusk lAdmission 11 0 1 2 16/5/12
Qty Description Unit Price Line Total
xuunotoUo
Credit Card: Name OnCard �o�sToxi
MC Total S 12*.00
vbo Cord#
Discover
Asxn Expooh*: Code:
Thank you for your business!
856 w6OOE roi3Oo'ks |w 479413 87/'5 x321
c/
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 5/18/12
Check payable to
Name: Fair Oaks Farm
Address: 856 N. E.
City, State, Zip Fair Oaks, IN 47943
Mail check to payee X Return check to requestor
Check Amount 124.00 Date Required 6/5/12
Check needed for Fair Oaks Farm for Chillville Summer Camp on 6/5/12
To be paid from
PO (if applicable) E0002487
Budget account GL 1082 -9 4343007
Budget Line Description Field Trip
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Jennifer Holder
Requested by (signature):
Approved by (signature of Division Manager):
on this date
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.
Fair Oaks Farms Terms
856 N 600 E
Fair Oaks, IN 47943
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/10/12 100 Field trip Chillville 6/5/12 124.00
Total 124.00
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.
Fair Oaks Farms Allowed 20
856 N 600 E
Fair Oaks, IN 47943
In Sum of
124.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -9 100 4343007 124.00 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
1 *h'b- YI fAy7j
Signature
124.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund