312882 6/26/2017 a°`y�NM
"• CITY OF CARMEL, INDIANA VENDOR: 371723
�.` ONE CIVIC SQUARE RYAN HORINE CHECK AMOUNT: S'""'""'640.00'
,; rQ CARMEL, INDIANA 46032 9310 RED MAPLE LANE CHECK NUMBER: 312882
FISHERS IN 46038 CHECK DATE: 06/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341992 CK REQUEST 640.00 SECURITY 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.
371723 Horine, Ryan Terms
9310 Red Maple Lane
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/19/17 Ck Request Security Services 6/10/17 and 6/18/17 41756 $ 640.00
Total $ 640.00
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
n
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: June 19,2017
Check payable to:
Name: Ryan Horine
Address: 9310 Red Maple Lane
City,State,Zip Fishers, In 46038
_XX Mail check to payee Return check to requestor
Check Amount:$ 640.00 Date Required:
Purpose of Check: Security Services 6/10/17 and 6/18/17 16 hours @$40 ea.
Supporting documentation or invoice(s)MUST be attached.
To be paid from:
PO#(if applicable) 14 /1 Ste
Budget account-GL# 1091-4341992
Budget Line Description Security Services
Requested by(print): PaulaSchlemmer
Requested by(signature/date): �D�'c �n V}2Qh� 6/19/17
Approved by(print): Audrey Kostrzewa
Approved by(signature/date)
Form recreated 3/10/15(Business Services)