213363 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00351251 Page 1 of 1
0 ONE CIVIC SQUARE ART OVATION
CARMEL, INDIANA 46032 7615 SSR 267 CHECK AMOUNT: $569.98
BROWNSBURG IN 46112 CHECK NUMBER: 213363
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6391 569 . 98 OTHER EXPENSES
Art Ovation
' 7615 S. State Road 267 -
Brownsburg, IN 46112
Date 9/1/2012
Phone# 317-769-4301 artovation @aol.com Invoice# 6391
Fax# Fax 317-769-4306
Carmel Water
9609 Hazel Dell Pkwy
Indianapolis, IN 46280
I
P.O. # S13171 Ship Date 9/1/2012
Terms Due Date 9/1/2012
Other
• ���5` -E x> s e� s��� �,r5'^L' .�"� 6 �s .,,, � 4 .'tr`�, .w^._ ! � � 2- �k�.s+; r .r.,.s.. ti � �E � �q � �,.0 *F :.
6x10US US Flag 4 90.00
INDFLAG INDIANA FLAG 2 53.50 1 107. 00
360.00
5x8US US Flag 1 84.00 84.00
Shipping Shipping Total 1 17.981 17.98
s
Subtotal $568.98
Sales Tax (7.0%) $0.00
-—--__.-- — ..— -- — --— -- — Total. $568.98
Art Ovation
Payments/Credits $0.00
Balance Due $568.98
EMMM
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351251
ART OVATION Purchase Order No.
7615 S SR 267 Terms
Brownsburg, IN 46112 Due Date 10/2/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/2/2012 6391 $568.98
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5-11-10-1.6
l,n 15/l1 L 7q".—
Date Officer
VOUCHER # 125801 WARRANT # ALLOWED
351251 IN SUM OF $
ART OVATION
7615 S SR 267
Brownsburg, IN 46112
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6391 01-7202-05 $568.98
Voucher Total $568.98
Cost distribution ledger classification if
claim paid under vehicle highway fund