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222493 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 367039 Page 1 of 1 ONE CIVIC SQUARE MEASURE CONSUMER PERSPECTIVES CARMEL, INDIANA 46032 657 S HURSTBOURNE PARKWAY#204 CHECK AMOUNT: $80.00 LOUISVILLE KY 40222 CHECK NUMBER: 222493 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 14129 80 . 00 OTHER CONT SERVICES FC�E-!T'V E D F�� _7D � JUL -° 5 Z013 Invoice �i Invoice Number: 14129 Invoice Date: 2013-06-30 Billing Terms: net 15 Bill To: Remit To: Carmel Clay Park and Recreation Measure Consumer Perspectives Phone:317-573-5236 657 S Hurstbourne Pkwy#204 Fax:317-573-5254 Louisville KY 40222 502.749.6100 _. _W Will Moron C°e ear Day Pass Visit 2013-06-24 2013-06-24 Monon Monon Community Center Monon Center Day Pass Visit 80.00 USD Carmel IN 46032 Survey ID: 1670223 Purchase Expense 0.00 USD Survey Subotal: 80.00 LSD Summarysfor2013=06 24r ',(1)reco d� x '* ?,F- b"t ot al 4 80.00 Su U$Dy Number ofxSurves 1 r u tx , Shy s L a y �"2 rF Invoice Totals 80 00 USD 9M70 F Page 1 of 1 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. 367039 Measure Consumer Perspectives Terms 657 S Hurstbourne Pkwy # 204 Louisville, KY 40222 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 6/30/13 14129 Mystery shopper Jun'13 31070 F $ 80.00 Total $ 80.00 l 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. 367039 Measure Consumer Perspectives Allowed 20 657 S Hurstbourne Pkwy#204 Louisville, KY 40222 In Sum of$ $ 80.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members INVOICE NO. ACCT#/TITL AMOUNT Dept# 1091 14129 4350900 $ 80.00 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 25-Jul 2013 po Nm-IWk Signature $ 80.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund