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225396 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367669 Page 1 of 1 ONE CIVIC SQUARE JACQUE HAMMONDS CARMEL, INDIANA 46032 12103 SUNRISE CIRCLE CHECK AMOUNT: $150.00 FISHERS IN 46038 CHECK NUMBER: 225396 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 150 . 00 OTHER EXPENSES i GOOD The Good Gentles of Fishers INVOICE 12103 Sunrise Circle W0- : FTHERS S Fishers,Indiana 46038 (317)418-5339 cell •jacquejgh @yahoo.com Date e 9-17-13 TO: Name City of Cannel Organization/Co. City of Carmel Date of job Description Payments Value of Work 9-2013 Perfonnance at the Carmel Arts and Design District Gallery Walk $150.00 Notes:Please make check out to Jacque Hammonds-Thanks. Total Balance $150.00 a� 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)) 09/17/13 Invoice $150.00 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 Jacque Hammonds IN SUM OF $ 12103 Sunrise Circle Fishers, IN 46038 $150.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations Gift Fund 854 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 854 Invoice $150.00 I hereby certify that the attached invoice(s), or I - .� bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and ptrf�otr `J�1�1P received except Sunday, October 20, 2013 Director, Community Relations/Economic Development Title Cost distribution ledger classification if claim paid motor vehicle highway fund