226709 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 367776 Page 1 of 1
ONE CIVIC SQUARE INDIANA URBAN MAYORS CAUCUS
CARMEL, INDIANA 46032 200 S MERIDIAN ST,STE 340 CHECK AMOUNT: $1,000.00
? INDIANAPOLIS IN 46225
_rto�6 CHECK NUMBER: 226709
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 13 IUMC-8 1, 000 . 00 PROMOTIONAL FUNDS
200 South Meridian Street Suite 340 . Indianapolis,IN 46225
Phone 317.237.6200•Fax 317.237.6206•www.citiesandtowns.org
INVOICE
November 7,2013
TO:
Invoice Number
Hon.James Brainard 13 IUMC-s
Mayor
City of Carmel
2013 Indiana Urban Mayors Caucus $19000.00
METHOD OF PAYMENT
13 Check O MasterCard O Visa 0 Discover
Check Number
Card Number
Expiration Date T3-(igit Security Code
Name of Cardholder
Authorized Signature
Billing Address(if different from above)
City
State Zip
Please remit by December 6, 2013
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Urban Mayors Caucus
IN SUM OF $
200 South Meridian Street, Suite 340
Indianapolis, IN 46225
$1,000.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 13 IUMC-8 43-551.00 $1,000.00 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
Monda , December 02, 2013
'Zina
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/07/13 13 IUMC-8 $1,000.00
I 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