HomeMy WebLinkAbout313546 7/10/2017 v k I
CITY OF CARMEL, INDIANA VENDOR: 371759
ONE CIVIC SQUARE LAWRENCE H BENDZEN III CHECK AMOUNT: $**.....120.00*
CARMEL, INDIANA 46032 16582 AUDUBON CT CHECK NUMBER: 313546
' NOBLESVILLE IN 46060 CHECK DATE: 07/10/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341992 CK REQUEST 120.00 SECURITY SERVICES
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Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: July 3,2017
Check payable to:
Name: Lawrence H Bendzen 111
Address: 16582 Audubon Ct
City,State,Zip Noblesville, IN 46060
_XX Mail check to payee Return check to requestor
Check Amount:$ 120.00 Date Required:
Purpose of Check: Security Services 6/22/17
3 hours @$40 each
Supporting documentation or invoice(s)MUST be attached.
To be paid from:
PO#(if applicable) 1� 5
Budget account-GL# 1091-4341992
Budget Line Description Security Services
Requested by(print): Paula Schlemmer
Requested by(signature/date): 7/3/17
Approved by(print): Audrey Kostrzewa �
Approved by(signature/date) &tl 2Z/ ,- �
0 Form recreated 3/10/15(Business Services)