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225314 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 355140 Page 1 of 1 ONE CIVIC SQUARE CENTRAL INDIANA ASSOC OF VOLUNTMCK AMOUNT: $12.00 CARMEL, INDIANA 46032 ADMINISTRATION PO BOX 732 CHECK NUMBER: 225314 INDIANAPOLIS IN 46206-0732 CHECK DATE: 10/2312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4355300 10/4 12 . 00 ORGANIZATION & MEMBER 41 _ CIAV Cer l`-A Indiana .�Xssociatioll of 't'olunteel= Adniinisti ation -P.O. Box 732 ,;Indianapolis, IN 46206-0732, Invoice MWA0000266 Date,: Oct toh - 412013" ' Organization or Company: Carmel Clay Parks & Recreation 1.411 E. 116th Street Carmel, IN 46032 317.373.3868 cn else n(,�j-),carmelclayparks.co.m Contact Person: Camille Nelsen October 10 monthly meeting -Sh2:"'... CIAVA m -Ih� meetu� x'13 A 0000 - 11a5- 1-01- 4355300 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 10/4/13 10/4 Monthly CIAVA mtg. Oct'13 $ 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 Dept# INVOICE NO. CCT#/TITL AMOUNT 1125 10/4 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 17-Oct 2013 Signature $ 12.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund