HomeMy WebLinkAbout233998 06/25/14 ® CITY OF CARMEL, INDIANA VENDOR: 368254
ONE CIVIC SQUARE DNR CHECK AMOUNT: $***""**100.00*
CARMEL, INDIANA 46032 C/O FORT HARRISON STATE PARK CHECK NUMBER: 233998
5753 GLENN ROAD CHECK DATE: 06/25/14
INDIANAPOLIS IN 46218
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 7/17/14 1 100.00 FIELD TRIPS
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Michael R.Pence.,Governor
Cameron Clark,Director
.NRIndiana Department of Natural Resources
Fort Harrison State Park
5753 Glenn Road I JUS! I g 20114
Indianapolis, IN 46216
Phone: 317-591-0904 - -- —J
FAX: 317-541-9532
INVOICE
Bill To: June 16, 2014
Attn: Nikeesha Pittman
1235 Central Park Drive East
Carmel, IN 46032
RE: Carmel Clay Parks and Recreation
Date Description Quantity Amount Owed
July 17, 2014 $2 per child 50 $100.00
Total Amount Invoiced: $100.00
"Please make checks payable to: DNR
An Equal Opportunity Employer
Printed on Recycled Paper
Carmel c Clay
Parks&Recreation CHECK REQUEST _
4� S
Date: t Iyo)�ZD\tel-
JUN 18 2014
IDY:_
Check payable to:
Name:
Address: 6-75:5 G L-e N N 'oAi,)
City, State, Zip_IN��A�.�oUS. Ohl q (p.2 j Lo
Mail check to payee ✓ Return check to requestor
Check Amount: $_i nn Date Required:_ICU zO Imo}-
Cfieck needed-for: uS
To be paid from:
PO#(if applicable) XX--762- CLQ.
Budget account- GL# 10 P,2-
Budget Line Description_ ri�u� i P
Supporting documentation or receipt(s) MUST be attached,
Requested by(print): �tYrEtA \
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1-21-OB
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.
DNR Terms
Fort Harrison State Park
5753 Glenn Road
Indianapolis, IN 46216
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/16/14 7/17/14 Field trip 7/17/14 xx761 $ 100.00
Total $ 100.00
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
Voucher No. Warrant No.
DNR Allowed 20
Fort Harrison State Park
5753 Glenn Road -
Indianapolis, IN 46216 In Sum of$
$ 100.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
i
i
PO#orBoard Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1082-3 7/17/14 4343007 $ 100.00 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
f
19-Jun 2014
I�
I
j Signature
$ 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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