216004 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 365610 Page 1 of 1
ONE CIVIC SQUARE CORE RESEARCH, INC
CARMEL, INDIANA 46032 PO BOX 45873 CHECK AMOUNT: $90.00
OMAHA NE 68145-0873
CHECK NUMBER: 216004
CHECK DATE: 119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4350900 3504 90 . 00 OTHER CONT SERVICES
Invoice
TORE Invoice Number 3504
Invoice Date. 2012-12-31
Billing Terms: net 15
Bill To: Remit To:
Carmel Clay Park and Recreation Core Research, Inc.
Phone:317-573-5236 PO Box 45873
Fax:317-573-5254 Omaha, NE 68145-0873
(402)502-0579
angie @coreresearchinc.com
IViorion Center Day-Pass Visit ''' .: \. -
2012-12-20
2012-12-20 Monon Monon Community Center Monon Center Day Pass Visit 8000 USD
Carmel IN 46032 _" "' 1-?.J i
Purchase Expense 10.00 USD
Summary for 2012w12-20- (.1)record', »;;, Subtotal: 90.00;,USD
.:.. Number of Surveys:..
3' = Invoice Total: 90.00 USD
R
'ED
JAN 0 2 2013
Page 1 of 1
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.
365610 Core Research, Inc. Terms
P.O. Box 45873
Omaha, NE 68145-0873
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/31/12 3504 Mystery shopper program Dec'12 31070 $ 90.00
Total $ 80.00
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.
365610 Core Research, Inc. Allowed 20
P.O. Box 45873
Omaha, NE 68145-0873
In Sum of$
$ 90.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1091 3504 4350900 $ 90.00 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
3-Jan 2013
Signature
$ 90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund