209190 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366271 Page 1 of 1
0 ONE CIVIC SQUARE JAMES HORTON CHECK AMOUNT: $275.00
CARMEL, INDIANA 46032 7712 MIRACLE ROAD
INDIANAPOLIS IN 46237 CHECK NUMBER: 209190
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 60812 275.00 ADULT CONTRACTORS
041 Indiana Jim's Reptile Experience Invoice Number:060812
James Horton
0
Miracle Road
Indianapolis, IN 46237
(317)-865-0464
INVOICE
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Carmel Clay Parks Recreation
Prairie Trace ESE 02/01/12
14200 N. River Rd.
Carmel, IN 46033
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06/08/12 Fee for reptile/amphibian programs
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Purchase
Description
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Purchaws
Approval
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: I I
Check payable to ff
Name:
Address: 7 7 1 2 iy-acto-
City, State, Zip
Mail check to payee Return check to re 9 uestor
Check Amount 2- 7a Date Required 12
Check needed for:
To be paid from
PO if applicable)
Budget account GL
Budget Line Description VO w—
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): nflo S
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
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'Jii 1111
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.
Horton, James Terms
7712 Miracle Road
Indianapolis, IN 46237
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
211112 60812 Reptile program Clay Vac Station 6/8/12 30813 275.00
Total 275.00
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.
Horton, James Allowed 20
7712 Miracle Road
Indianapolis, IN 46237
In Sum of
275.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 60812 4340800 275.00 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
Signature
275.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund