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223872 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 355140 Page 1 of 1 ONE CIVIC SQUARE CENTRAL INDIANA ASSOC OF VOLUNT E� CARMEL, INDIANA 46032 ADMINISTRATION HECK AMOUNT: $12.00 PO BOX 732 CHECK NUMBER: 223872 INDIANAPOLIS IN 46206-0732 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4355300 8/30 12 . 00 ORGANIZATION & MEMBER SEP 0 2Q13 CIAVA By.__Dlc Central Indiana Association of Volunteer Administration P.O. Box 732 Indianapolis, IN 46206-0732 Invoice PO #A0000266 Date: August 30, 2013 Organization or Company: Carmel Clay Parks & Recreation 1411 E. 116th Street Carmel, IN 46032 317.573.3868 cnelsen @carmelclayparks.com Contact Person: Camille Nelsen September 12 monthly meeting: $12 � 0 000'110 Signature of Receiver Title or Office of Receiver NO Goods or Services were given to the donor for this donation Goods or Services were received by the donor: $ value 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. 355140 CIAVA Terms Central Indiana Assoc. of Volunteer Admin. P.O. Box 732 Indianapolis, IN 46206-0732 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/30/13 8/30 Monthly CIAVA mtg. Aug'13 S 12.00 Total $ 12.00 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. 355140 CIAVA Allowed 20 Central Indiana Assoc. of Volunteer Admin. P.O. Box 732 Indianapolis, IN 46206-0732 In Sum of$ $ 12.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund Po#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1125 8/30 4355300 $ 12.00 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 5-Sep 2013 Signature $ 12.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund