216186 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366800 Page 1 of 1
ONE CIVIC SQUARE S E S A C, INC
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CARMEL, INDIANA 46032 55 MUSIC SQUARE EAST CHECK AMOUNT: $1,062.00
NASHVILLE IN 37203-4399 CHECK NUMBER: 216186
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4358300 29273 631301012 1, 062 . 00 PERFORMER LICENSE
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December 17, 2012
Carmel Clay Board of Parks & Recreation ECs '
1411E 116 St. DEC 182012
Carmel, IN 46032-3455
Estimated License Fees for the period(s): R�
January 1, 2013 to December 31, 2013 $1,062.00
PLEASE PAY: };16�§i
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Please make your check payable to SESAC, and remit to: PAN/
SESAC
55 Music Sq E
Nashville, TN 37203
Note: Payment must be accompanied with a signed SESAC Performance License.
Account# 63-13-01012
SESAC Federal Tax ID: 13-1325220
Purchase
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Budget
Line Descr
Purchaser [Date _
Approval pate
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.
SESAC Terms
55 Music Sq E
Nashville, TN 37203
Invoice -Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/17/12 631301012 Performer license 12/1/12 - 11/30/13 29273 $ 1,062.00
Total_ $ 1,062.00
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.
SESAC 1 Allowed 20
55 Music Sq E I
Nashville, TN 37203
i
In Sum of$
$ 1,062.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept ept#
29273 F 631301012 4358300 $ 1,062.00 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
I
Signature
$ 1,062.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund