227303 12/17/2013 �,F CITY OF CARMEL, INDIANA VENDOR: 355140 Page 1 of 1
0 ONE CIVIC SQUARE CENTRAL INDIANA ASSOC OF VOLUNTMCK AMOUNT: $12.00
CARMEL, INDIANA 46032 ADMINISTRATION
�° PO BOX 732 CHECK NUMBER: 227303
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INDIANAPOLIS IN 46206-0732
CHECK DATE: 12/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355300 12/11 12 . 00 ORGANIZATION & MEMBER
�CE
CIAVADEC 112013
BY:
Central Indiana Association of N"()Iuiiteei- ,,-XdiiiiiiistratioiI
P.O. Box 732
Indianapolis, IN 46206-0732
Invoice PO #A0000266
Date: December 1.1, 201.3
Organization or Company: Carmel Clay Parks & Recreation
1411 E. 116th Street
Carmel, IN 46032
317.573.3868
en else n(a,carmelc laypa rks.co m
Contact Person: Camille Nelsen
December 12 monthly meeting: $12
A
35S_30O
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: 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
12/11/13 12/11 Monthly CIAVA meeting Dec'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.
(CIAVA) Allowed 20
355140 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 INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1125 12/11 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
12-Dec 2013
Signature
$ 12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund