217042 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366930 Page 1 of 1
ONE CIVIC SQUARE AUTISM CONSULTATION CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032
29 SORREL COURT
ZIONSVILLE IN 46077 CHECK NUMBER: 217042
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341991 100 25 . 00 MARKETING & PROMOTION
--------------------
T Date: January 18, 2013
STA 'M)--7
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L Statement # floo]
Autism Consultation
29 Sorrel Court BILL TO: Carmel Clay Parks &
Zionsville, Indiana Recreation
46077 1235 Central Park
317-733-0593 Dr. East
Fax 866-968-3698 Carmel, Indiana
46032
mikaadams@sbcglobal.net
Customer ID D 101
i ii
�DAT IF DESCRIPTION
BALANCE
1/17/13 Vendor's Fee-Autism Expo- 3/16/2013 AMOUNT
$25.00
$25.00 II
CURRENT 1-30 DAYS j 31-60 DAYS 61-90 DAYS
z
PAST DUE PAST DUE PAST DUE OVER 90 DAYS I AMOUNT
PAST DUE
1)U E71
REM117ANCE
Statement# 00
Date
L
HIM (01SULTATION Lu I Amount Due
$25.00
Providing unique individualized
strategies for children with special needs. Amount Enclosed
Purchase
Description
P.O.# 611CIA --PorF
G-L# Make all checks payable to Autism Consultation
Budget
UneDescr THANK YOU FOR YOUR BUSINESS!
---Purchaser:k'-
77-7-=
Approval_C;Q_
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.
Autism Consultation Terms
29 Sorrel Court
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1118113 100 Vendor fee Autism Expo $ 25.00
Total $ 25.00
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
Voucher No. Warrant No.
Autism Consultation Allowed 20
29 Sorrel Court
Zionsville, IN 46077
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept#
1091 100 4341991 $ 25.00 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
7-Feb 2013
0 /0
4 4m�
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund