214714 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00352899 Page 1 of 1
ONE CIVIC SQUARE ADRIENNE KEELING
CARMEL, INDIANA 46032 C/O DOCS CHECK AMOUNT: $225.00
a0 DOCS CHECK NUMBER: 214714
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355300 225 . 00 ORGANIZATION & MEMBER
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customer name: Keeiing Adrienne billing name: Keeling Adrienne
erred: akeeling@rarmel.in.gov cams.: Keeling Adrienne
phone: (317)571-2417
.hipping label: Ate.Adrienne Keeling buling label: Ms.Adrienne Keeling
Planning Admnistrator Banning Adrrinshator
City of Centel City of Carrnal
One WC Square One D7 is Square
Came).N46032 Carnal,N46032
Payment Information
parctem amn.ra: 225.00 net-Wale 225.00
pnymeml methw: Credit Card USD net-appred: 225.00
not-bafancs 0.00
authortption code 03942P
reference number VLFA7E2368F1
tenancy: USD-United States Dollar
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Adrienne Keeling
IN SUM OF $
c/o One Civic Square
Carmel, IN 46032
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 43-553.00 $225.00
I hereby certify that the attached invoice(s), or
I I
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 16, 2012
ZA
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/15/12 ULI Dues $225.00
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