226627 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 355140 Page 1 of 1
ONE CIVIC SQUARE CENTRAL INDIANA ASSOC OF VOLUNTFCRECK AMOUNT: $12.00
CARMEL, INDIANA 46032 ADMINISTRATION
«o�° PO BOX 732 CHECK NUMBER: 226627
INDIANAPOLIS IN 46206-0732
CHECK DATE: 1213/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355300 11/6 12 . 00 ORGANIZATION & MEMBER
NOV 07 2013
r_ . A BY-Cop_,
P.O. Box 7321
Indianapolis, IN 46206-0732
Invoice PO #AO000266 NOV 8 2013
Date.- November 6, 2013
Organization oi- Company: Carmel Clay Parks & Recreation
1411. E. I I 6th Street
Carmel, IN 46032
317.573.3868
enelsen,,'W�c,,ii-iiielcl,,ivpai-ks.coiii
Contact Person: Camille Nelsen
November 14 monthly meeting: S12
CiA\JA Mectirvj
A 0000:24D40
Signature of Receiver Title or Of-rice of Receiver
NO Goods or Services were given to the donor for this donation
—Goods or Services were received by the donor: S 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.
(CIAVA) Terms
355140 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
11/6/13 11/6 Monthly CIAVA mtg. Nov'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.
I (CIAVA) Allowed 20
Central Indiana Assoc. of Volunteer Admin.
P.O. Box 732
3 Indianapolis, IN 46206-0732 In Sum of$
$ 12.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1125 11/6 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
27-Nov 2013
Signature
$ 12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund