HomeMy WebLinkAbout233999 06/25/14 CITY OF CARMEL, INDIANA VENDOR: 368254
ONE CIVIC SQUARE DNR
CHECK AMOUNT: $********50.00*
CARMEL, INDIANA 46032 C/O FORT HARRISON STATE PARK CHECK NUMBER: 233999
5753 GLENN ROAD CHECK DATE: 06/25/14
INDIANAPOLIS IN 46218
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 7/17/14 2 50.00 FIELD TRIPS
Michael R.Pence.,Governor
Cameron Clark,Director
NRIndiana Department of Natural Resources
Fort Harrison State Park
5753 Glenn Road =
Indianapolis, IN 46216 JLlI� 2014
Phone: 317-591-0904 i
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 $1 per child 50 $50.00
Total Amount Invoiced: $50.00
****Please make checks'payable to: DNR
An Equal Opportunity Employer
Printed on Recycled Paper
I
Carmel c Clay
Parks&Recreation CHECK REQUEST
Date: iay�J'F-aO14 I-Tf P �
JUN 18 2014
Check Payable to: :
Name:
Address: -S-15:5 G L-e FA w RoA,>
City, State, Zip rA moi-fob--1 to
Mail check to payee ✓ Retum check to requestor
Check Amount: $ 5th` Date Required: l,�L,4 20)4
Check needed for: Pli�o&P—A-tom -
To be paid from:
PO#(if applicable) X X—7(e I C Rte.4 1%9�
Budget account-GL# 1a_gZ-3 4343��
Budget Line Description_ Vi Ea-I,'>
Supporfing documentation or receipt(s) MUST be attached.
Requested by (print):
Requested by (signatur :
4AAILI]S�
Approved by(signature of Division Manager):
on this date 1,-q-fq
Form revised 1-21-08
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 $ 50.00
Total Is 50.00
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 i In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/nTLE AMOUNT Board Members
Dept#
1082-3 7/17/14 4343007 $ 50.00(; 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
19-Jun 2014
i
4
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund I,
I
_ I