314097 7/26/2017 (9, )
CITY OF CARMEL, INDIANA VENDOR: 371759
ONE CIVIC SQUARE LAWRENCE H BENDZEN III CHECK AMOUNT: S"""'"640.00'CARMEL, INDIANA 46032 16582 AUDUBON CT CHECK NUMBER: 314097
NOBLESVILLEIN 46060 CHECK DATE: 07/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341992 7/17/17 640.00 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.
371759 Bendzen, Lawrence H, III Terms
16582 Audubon Ct
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/17/17 7/17/17 Security Services 7/15, 7/16/17 50072 $ 640.00
Total $ 640.00
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
Carmel * Clay
Parks&Recreation CHECK REQUEST
1ZFr 7,V ED
Date: July 17, 2017 JUL 1 8 2011
BY:
Check payable to:
Name: Lawrence H. Bendzen III
Address: 16582 Audubon Ct.
City,State,Zip: Noblesville IN 46060
XX Mail check to payee Return check to requestor
Check Amount:$ 640.00 Date Required: ASAP
Purpose of Check: Waterpark Security Services 7/15/17 7/16/17
16 hours at$40.00 each
To be paid from:
PO#(if applicable) reA it 50072-
Budget account-GL# 1091-4341992
Budget Line Description Security Services
Requested by(print): Paula Schlemmer
Requested by(signature/date): r f 41A 1' m-w 7/17/17
Approved by(print): Audrey Kostrzewa
Approved by(signature/date)