212240 08/28/2012 - CITY OF CARMEL, INDIANA VENDOR: 365818 Page 1 of 1
ONE CIVIC SQUARE GIANNINA HOFMEISTER
CARMEL, INDIANA 46032 8181 MORNINGSIDE DRIVE CHECK AMOUNT: $350.00
INDIANAPOLIS IN 46240
CHECK NUMBER: 212240
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 80612 350 . 00 ADULT CONTRACTORS
• •
8181`Momingside-Dr
Indianapolis, In 46240
Client
Monon Center INVOICE NUMBER 80612
INVOICE DATE August 6,2012
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 Zack Levine 5/12/2012 35.00 $35.00
1 Zack Levine 6/2/2012 35.00 35.00
1 Zack Levine 6/9/2012 35.00 35.00
1 Zack Levine 6/16/2012 35.00 35.00
1 Zack Levine 6/23/2012 35.00 35.00
1 Zack Levine 7/7/2012 35.00 35.00
1 Zack Levine 7/14/2012 35.00 35.00
1 Zack Levine 7/21/2012 35.00 35.00
1 Zack Levine 7/28/2012 35.00 35.00
1 Zack Levine 8/4/2012 35.00 35.00
SUBTOTAL _ 350.00
TAX
FREIGHT
$350:00
MAKE ALL CHECKS-PAYABLE TO: PAY THIS
Giannina Hofineister AMOUNT
8181 Morningside Dr
Indianapolis, In 46240
THANK YOU!
P.O.
C-00 SaM __.PorF
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AUG 13 2012 -
Purch , Date
App .Data
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.
Terms
365818 Hofineister, Giannina
8181 Morningside Dr
Indianapolis, IN 46240
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s) or bill(s))
31145 $ 350.00
8/6/12 80612 Music therapy
Total $ 350.00
1 hereby certify that the attached invoice(s),or bi11(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.
365818 Hofineister, Giannina Allowed 20
8181 Morningside Dr
Indianapolis, IN 46240
In Sum of$
$ 350.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 80612 4340800 $ 350.00 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
23-Aug 2012
Signature
$ 350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund