209851 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 364717 Page 1 of 1
ONE CIVIC SQUARE SUCH A VOICE CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 150 DORSET ST #245
S BURLINGTON VT 05403 CHECK NUMBER: 209851
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 5/8/12 125.00 ADULT CONTRACTORS
BM W
Dan Levine Productions, Inc.
150 Dorset St. #245
S. Burlington, VT 05403
802.275.0153
May 15, 2012 TAX ID: 06- 143 -0692
To: Monon Community Center
Attn: Matt Leber
1235 Carmel Park Drive East
Carmel, IN 46032
Invoice for 5/8/12 Voice -Over Class taught by Bill Brooks
Total Students: 5
Rate Per student/hour: $25.00 /student (Out of $35 reg fee)
Total Amount Due: $125.00
Please reply to confirm receipt and remit payment to:
Such A Voice
150 Dorset St. #245
S. Burlington, VT 05403
Thank you! Purchase
Description e- V ace o r C f zs
Dan Levine Productions, Inc. P.o. M C 0 Q Zg 7 P
(Such A Voice) c.L#
Budget
Une Descr
Purchaser Z
Approval
.-r-�
FMA
2 9 2012
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.
364717 Such A Voice Terms
150 Dorset St. 245
S. Burlington, VT 05403
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/15/12 5/8/12 Voice Over Class 125.00
Total 125.00
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.
364717 Such A Voice Allowed 20
150 Dorset St. 245
S. Burlington, VT 05403
In Sum of
125.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members
Dept
1096 -50 5/8/12 4340800 125.00 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
14 -Jun 2012
CNIM
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund