214348 11/07/2012 CITY OF CARMEL, INDIANA VENDOR. 00352899 Page 1 of 1
` t ONE CIVIC SQUARE ADRIENNE KEELING
CARMEL, INDIANA 46032 C/O DOCS CHECK AMOUNT $228.80
CEO ROCS CHECK NUMBER. 214346
CHECK DATE. 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357004 228 80 EXTERNAL INSTRUCT FEE
1
r'-
�a
Zoup!
Zoup! West Carmel Drive (Carmel IN)
1430 West Carmel Drive, Cannel IN 46032
3178109800
Date 10/30/2012 2 10 06 PM
r
Result CAPTURED
Auth No 00160P
Reference 88515678
TroutD 42582
Card Number XXXXXXXXXXXX5742
Amount $228 80
Signature X �.
I agree to Pay Above Total Amount
According to Card Issuer Agreement
Customer Copy
,• 1r�
5
'r
do
1/p
1
-•et71�^j'� ..
r �
cl
i � n
�H
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))
10/30/12 88515678 Dinner for Dialog Dinner $228.80
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
Adrienne Keeling
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$22880
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO ACCT#/TITLE AMOUNT Board Members
1192 I 88515678 I 43-57004 I $228.80 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
Friday, November 02 2012
Direc
Tit
Cost distribution ledger classification if
claim paid motor vehicle highway fund