210390 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 119775 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY ALLIANCE
CARMEL, INDIANA 46032 10333 N MERIDIAN ST CHECK AMOUNT: $41,940.00
SUITE 110 CHECK NUMBER: 210390
INDIANAPOLIS IN 46290
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1401 4358700 6/18/12 41,940.00 HAM CNTY ECON DVMT FE
l� ICt
Date:,-. June 18, 2012
From: Hamilton County Alliance
10333 North Meridian Street
Suite 110
Indianapolis, Indiana 46290
To: Diana L. Cord ray, -Clerk-Treasurer
City of Carmel
One Civic Square
Carmel, Indiana 46032
Re: 2012 Investment Hamilton County Alliance
Total Duel $41,940.00.
Thank You
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
APA 1-0
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund