232003 04/30/14 ^% CITY OF CARMEL, INDIANA VENDOR: 00352832
® 1 ONE CIVIC SQUARE FIFTH THIRD BANK CHECK AMOUNT: S"""16,000.00'
�, ?a CARMEL, INDIANA 46032 CHECK NUMBER: 232003
Mr,a„� CHECK DATE: 04/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
109 5023990 CK REQUEST 16,000.00 OTHER EXPENSES
Carmel oClay
Parks&Recreation CHECK REQUEST npg)
Date: April 7, 2014 APR - 7 20114
Check payable to:
Name: Fifth Third Bank
Address:
City, State, Zip
xxx Return check to re
Mail check to payee questor
Check Amount: $ 16.000.00 Date Required: May 8, 2014
Check needed for: Increase in change fund for seasonal Waterpark operations
To be paid from:
PO#(if applicable) n/a
Budget account-GL# 109-5023990
Budget Line Description MCC—Unappropriated Funds
I
Requested by(print): Audrey Kostrzewa Business Services Director
Requested by (signature/date):
Approved by(print): Michael Klitzing, Chief Operating Officer
Approved by(signature/date):
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.
Fifth Third Bank Terms
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/7/14 Ck Request Increase in change fund for seasonal Waterpark operation $ 16,000.00
Total $ 16,000.00
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.
Fifth Third Bank Allowed 20
In Sum of$
$ 16,000.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
109 Ck Request 5023990 $ 16,000.00 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
24-Apr 2014
Signature
$ 16,000.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund