HomeMy WebLinkAbout221238 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367216 Page 1 of 1
ONE CIVIC SQUARE ROBERT SHADE
CARMEL, INDIANA 46032 111 W MAIN ST SUITE 140 CHECK AMOUNT: $80.00
CARMEL IN 46032 CHECK NUMBER: 221238
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 80 . 00 OTHER EXPENSES
Date: 6/13/2013
INVOICE # [100]
TO City of Carmel FROM Robert Shade
Dept. of Community Relations c/o ArtSplash Gallery
One Civic Square 111 W. Main St., Suite 140
Carmel, IN 46032 Carmel, IN 46032
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Qty Description Total
1 Reimbursement for order of cake bites for April 13, 2013 IU $40.00
Health North Hospital Gallery Walk
1 Reimbursement for order of cake bites for May 11, 2013 IU $40.00
Health North Hospital Gallery Walk
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1 SUBTOTAL $80.00
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TAX c20r'
TOTAL
Please make all checks payable to Robert Shade
Thank you!
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/13/13 100 Cake Bites — 4/13 and 5/11 $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.
ALLOWED 20
Robert Shade IN SUM OF $
111 W. Main Street, Suite 140
Carmel, IN 46032
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
854 100 . 3 $80.00
hereby certify that the attached invoice(s), or
I I -
bill(s) is (are) true and correct and that the
I .U. Health North Sponsorship
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, June 17, 2013
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/Director, Community Relations/Ec nomic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund