314117 07/26/17 CITY OF CARMEL, INDIANA VENDOR: 371830
ONE CIVIC SQUARE MATTHEW R. GROSE CHECK AMOUNT: $k■.....
.kR■1.10.00'
=a CARMEL, INDIANA 46032 218 E.PINE RIDGE DRIVE CHECK NUMBER: 314117
WESTFIELD IN 46074 CHECK DATE: 07/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4341992 7/18/17 110.00 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 -4 51 l w
Purchase Order No.
Grose, Matthew R Terms
218 E. Pine Ridge Drive
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/18/17 7/18/17 Security Services 7/13/17 xx5613 $ 110.00
Total $ 110.00
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
Date: July 18, 2017
r
Check payable to: J U L 1 8 2011
i
BY:..............................
Name: Matthew R.Grose
Address: 218 E. Pine Ridge Drive
City,State,Zip: Westfield, IN 46074
XX Mail check to payee Retum check to reque$tor
Check Amount:$ 110.00 Date Required: ASAP
Purpose of Check: Waterpark Security Services 7/13/17
2.75 hours at$40.00 each
To be paid from:
PO#(if applicable)all -g: 1:,3;3&
Budget account-GL# 1091-4341992
Budget Line Description Security Services
Requested by(print): Paula Schlemmer
Requested by(signature/date): Yl .Q A) 7/18/17
Approved by(print): Audrey Kostrzewa
Approved by(signature/date)