HomeMy WebLinkAbout217043 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 363865 Page 1 of 1
ONE CIVIC SQUARE AUTISM SOCIETY OF INDIANA
CARMEL, INDIANA 46032 13295 ILLINOIS ST SUITE 110 CHECK AMOUNT: $100.00
CARMEL IN 46032 CHECK NUMBER: 217043
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341991 115 100 . 00 MARKETING & PROMOTION
ORIGINAL.
INVOICE
AUTISM
SOCIETY
OF INDIANA 7?A �D
�i1UIISA1SOCIfT C./ T qE.
JAN 2 2 2013
Number: 0115
Y.
Date: January 16, 2013 - -
From: To:
Autism Society of Indiana Brooke Taflinger, Monon Community Center
13295 Illinois Street, Suite 213 1235 Central Park Dr. East
Carmel, IN 46032 Carmel, IN 46032
800-609-8449 317-573-5245
info(aD_inautism.org, www.inautism.org btaflinger ancarmelclayparks.com
Description Amount
Autism Expo 2013 — non profit exhibitor 100.00
TOTAL $100.00
*Please make checks payable to the Autism Society of Indiana and mail to the above
address.
Purchase
Description
P.O.#nom °^ 4 PorF
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Bud et
Line Descx,,� _._.—
Purchas --
Approval Date
Carmel • Cla
. y ORIGINAL
s&Recreation
Park
CHECK REQUEST
Date:
i
Check payable to:
Name:
i
Address: C%\S k %\e
l
City, State, Zip Qa O
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Mail check to
payee X Return check to requestor
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Check Amount: $ V
c Date Required:
Check needed for:
To be q aid from:
PO#(if applicable) C�\
Budget account-GL#
Budget Line Description
i
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print): lrL f'
Requested by(signature): p
Approved by(signature of Division Manager):
on this date
Form revised 7-7-08 Shared/Forms/Business Services/Check Request Form/Check Request rev 7-7-
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.
363865 Autism Society of Indiana Terms
13295 Illinois Street, Suite 213
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/16/13 115 Autism Expo 2013 $ 100.00
Total $ 100.00
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.
363865 Autism Society of Indiana Allowed 20
13295 Illinois Street, Suite 213
Carmel, IN 46032
In Sum of$
$ 100.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 115 4341991 $ 100.00 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
Signature
$ 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund