243944 04/08/15 CITY OF CARMEL, INDIANA VENDOR: 00352832
ONE CIVIC SQUARE FIFTH THIRD BANK CHECK AMOUNT: S""`16,000.00•
CARMEL, INDIANA 46032 ACCT NXXXX-XXXX-XXXX-2798 CHECK NUMBER: 243944
PC BOX 740523 CHECK DATE: 04/08/15
CINCINNATI OH 45274-0523
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
109 5023990 CK REQUEST 16,000.00 OTHER EXPENSES
A t i1.
Carmel * Clay
Parks&Recreation CHECK REQUEST
Date: April 1,2015 ' - � C
APR 0 1 2015
Check payable to: ��:
Name: Fifth Third Bank
Address:
City,State,Zip
Mail check to payee XXX Return check to requestor
Check Amount:$ 16,000.00 Date Required: May 1,2015
Purpose of Check: increase in change fund for seasonal Waterpark operations
Supporting documentation or invoice(s)MUST be attached.
To be paid from:
PO#(if applicable) n/a
Budget account-GL# 109-5023990
Budget Line Description MCC—Unappropriated Funds
Requested by(print): Audrey Kostrzewa Business Services Director
Requested by(signature/date):
"-- (�j
Approved by(print): Michael Klitzing,Chief Operating Officer
Approved by(signature/date)
Form recreated 3/10/15(Business Services)
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
4/1/15 Ck Request Increase in change fund for.seasonal Waterpark operation $ 16,000.00
Total $ 16,000.00
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
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. CCT#/TITL AMOUNT Board Members
Dept# ;,L
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,
April 2, 2015
signature
Is .16,00.0 00 Accounts`,Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund