HomeMy WebLinkAbout209500 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 364946 Page 1 of 1
0 ONE CIVIC SQUARE C I R T A
CARMEL, INDIANA 46032 320 N MERIDIAN CHECK AMOUNT: $30,000.00
o o
SUITE 406 CHECK NUMBER: 209500
INDIANAPOLIS IN 46204
CHECK DATE: 6/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 2012 30,000.00 OTHER CONT SERVICES
ORTA
C— al lncil— Reylaw {wtsporW_, A NM.Wry
r "r PE 0" t n r) ntACF'
320 N. Meridian
Suite 406
Phone: 317-327-7433
Indianapolis, IN 46204 Fax: 317- 638 -2825
Invoice
n
Invoice 2012 City of Carmel
Bill ra: City of Carmel
Date: 05/11/12
Mike Hoflibaugh, Director of Community Services
Customer 1D: City of Carmel
Third Floor, One Civic Square
Carmel, IN 46032
Date Type Invoice fs Description p Amount Payment Balance
5/14/2012 Charge Meijer Park Ride
30,000.00 30,000.00
Reminder: Please include the statement number on your check Total 30,000.00
Terms: Balance due in 30 days
Customer (Nome: Mike Terry
Customer ID: City of Carmel
_Invoice 2012 City of Carmel
Dote: 05/11/12
Amount Due: $30,000.00
Amount Enclosed:
E
I
Page I
VOUCHER N WARRANT NO.
ALLOWED 20
CI RTA
IN SUM OF
J
200 IF Was
Indianapolis, IN 46204
$30,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192
l 2012 I 43- 509.00 I $30,000.00 1 hereby certify that the attached invoice(s), or
1 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
Monday, June 04, 2012
i
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/11/12 2012 Grant Match 2012 $30,000.00
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