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213952 10/23/2012 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: 213952 CHECK DATE: 10123/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 350 . 00 ADULT CONTRACTORS Giannina • INVOIC17 8181 Morningside DI Indianapolis, In 4624( Client Monon Center INVOICE NUMBER 10.3.12 INVOICE DATE October 3,2012 QUANTITY DESCRIPTION DATE UNITPRICE AMOUNT 1 Antonio Sarver Music Therapy Session 6/9/2012 35.00 $35.00 1 Antonio Sarver Music Therapy Session 6/16/2012 35.00 35.00 1 Antonio Sarver Music Therapy Session 6/23/2012 35.00 35.00 1 Antonio Sarver Music Therapy Session 7/21/2012 35.00 35.00 1 Antonio Sarver Music Therapy Session 8/7/2012 35.00 35.00 1 Antonio Sarver Music Therapy Session 8/18/2012 35.00 35.00 1 Antonio Sarver Music Therapy Session 8/25/2012 35.00 35.00 1 Antonio Sarver Music Therapy Session 9/8/2012 35.00 35.00 1 Antonio Sarver Music Therapy Session 9/15/2012 35.00 35.00 1 Antonio Sarver Music Therapy Session 9/22/2012 35.00 35.00 SUBTOTAL 350.00 TAX FREIGHT $350.00 MAKE ALL CHECKS PAYABLE TO: PAY THIS Giannina Hofineistei I AMOUNT 8181 Morningside DI Indianapolis, In 4624( THANK YOU! r D88CriPrtk ParF OCT Q 5 1012 Budget Une Puy -�a APP 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. 365818 Hofineister, Giannina Terms 8181 Morningside Dr Indianapolis, IN 46240 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10!3112 10312 Music therapy 29053 $ 350.00 Total $ 350.00 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. 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 N0. ACCT#/TITLE AMOUNT Board Members Dept# 1096-70 10312 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 12-Oct 2012 fihhbfiZ1nb17 Signature $ 350.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund