219676 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 042500 Page 1 of 1
ONE CIVIC SQUARE CARMEL CHAMBER OF COMMERCE CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 21 S RANGELINE ROAD SUITE 300A
4 ;off CARMEL IN 46032 CHECK NUMBER: 219676
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 19350 100 . 00 OTHER EXPENSES
Carmel
Carmel Chamber of Commerce Chamber
21 South Range Line Road,Suite 300A Singular Fc.--us, Shared Sluccess
Carmel,IN 46032 INVOICE
V0
Sue Maki
19350
Carmel Utilities(Water&Wastewater Services)
760 Third Avenue SW
,g
st
Carmel,IN 46032 g om1r.
6439
Qty- Rate Amount
Table Display 1.00 100,00 100.00
Total 100.00
Amt Paid 0.00
Balance Due 100.00
INVOICE MEMO
June Luncheon Sponsor
Carmel Chamber of Commerce 21 South Range[,me Road,Suite 300A Carmel, IN 46032
Phone:(317)846-1049 Fax:(317)844-6843
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
042500
CARMEL CLAY CHAMBER OF COMMERCE Purchase Order No.
41 East Main Street Terms
Carmel, IN 46032 Due Date 5/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/1/2013 19350 $100.00
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
S/J//3
Date Officer
VOUCHER # 135440 WARRANT # ALLOWED
042500 IN SUM OF $
CARMEL CLAY CHAMBER OF COMME
41 East Main Street
Carmel, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
19350 01-7360-08 $100.00
l
Voucher Total $100.00
Cost distribution ledger classification if
claim paid under vehicle highway fund