HomeMy WebLinkAbout259771 06/16/16 �ur..4�nb
4/ �f. CITY OF CARMEL, INDIANA VENDOR: 370688
�� ONE CIVIC SQUARE ELISABETH GIFFIN CHECK AMOUNT: $*******200.00*
:9� ;� CARMEL, INDIANA 46032 C/O BUTLER BRIDGE PROGRAM CHECK NUMBER: 259771
y��oN.�. 4600 SUNSET AVE CHECK DATE: 06/16/16
INDIANAPOLIS IN 46208
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 BB01 200.00 FIELD TRIPS
Voucher No. Warrant No.
G fiffin, Elisabeth Allowed 20
C/O Butler Bridge Program
4600 Sunset Ave
Indianapolis, IN 46208 In Sum of$
$ 200.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. A.CCT#JTITLE AMOUNT Board Members
Dept#
1082-6 BB01 4343007 $ 200.00 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
June 9, 2016
Signature
$ 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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TO Jennifer Hammons
Carmel Clay Packs and Recreation JUN
West Clay Elementary School Extended School Enrichment
3495 W 126th Street
Carmel,IN 46032
P 317.698.4966
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Elisabeth Giffin c iffini%tl.lnitler.edu 317-918-7071 Bridge Assistant/Mentor
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T UNIT TRICE :l I�]E
1 Services to teach a playwfiting workshop for children ages 200.00
8-14;June 28,2016 12-3:30pm.
SUBTOTAL
SAILS'I•UX
TOTAL ;-206.6
Please make= ecGj?r,
I;Lsabeth Giffin
Thank you?
Carmel , Clay
Parks&Recreati®n CHECK REQUEST
Date: JUN 2016
Check payable` to: `\
Name: e l l s o�0�1 G 641 n
Address: .C-10 f�)'-AA0,r- Q(-c'.A C"rn QCs OG
City, State, Zip \�� ► "�'n°� PT `� E 2 C
Mail check to payee Return check to requestor
Check Amount: $ c>? C3 Date Required: ' a ` RD
Check needed for: e�� ��►p ��� �ucc e S� °v\
To be paid from:
PO#(if applicable)
Budget account-GL# L 3 LI'S 00-�+
Budget Line Description S-C-C-eSS (,r\ SA-c, -b�-,P
Invoice(s) and Purchase Order(if required) MUST be attached.
Requested by (print): �e�1t1� t 1G'M clyS
Requested by(signature):
Approved by(signature of Division Manager):
on this date
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/Check Request(rev 7-7-08)