214142 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 366666 Page 1 of 1
f ` ONE CIVIC SQUARE POLKABOY,INC CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 377 PATRICIA COURT
CARMEL IN 46033 CHECK NUMBER: 214142
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359000 500 . 00 SPECIAL PROJECTS
P®lkab®y Inc.
377 Patricia Court
Carmel, IN 46033
817-2718
INVOICE
September 24, 2012
Carmel Redevelopment Commission
& City of Carmel
Entertainment for Oktoberfest at City Center
October 26, 2012 from 6 to 9 PM $7,000.00
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 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))
09/24/12 Invoice $500.00
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.
ALLOWED 20
Polkaboy, Inc.
IN SUM OF $
377 Patricia Court
Carmel, IN 46033
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Invoice 43-590.00 $500.00 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
Monday, October 22, 2012
J
Com unity Relatio s
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund