314102 07/26/17 9� )
CITY OF CARMEL, INDIANA VENDOR: 371721
ONE CIVIC SQUARE PATRICK CLENNON CHECK AMOUNT: S*******110.00*CARMEL, INDIANA 46032 11017 GEIST WOODS NORTH DRIVE CHECK NUMBER: 314102
INDIANAPOLIS IN 46256 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
Purchase Order No.
371721 Clennon, Patrick M Terms
11017 Geist Woods North Drive
Indianapolis, IN 46256
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 xx5612 $ 110.00
Total Is 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 e Clay
Parks&Recreation CHECK REQUEST
Date: July 18, 2017
JUL 1 8 2017
N
Check payable to:
BY:
Name: Patrick M.Clennon
Address: 11017 Geist Woods North Drive
City,State,Zip: Indianapolis, IN 46256
XX Mail check to payee Return check to requestor
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) ,5(c 12
Budget account-GL# 1091-4341992
Budget Line Description Security Services
Requested by(print): Paula Schlemmer
Requested by(signature/date): `p�CY(Did'YI 'LG1rl 7/18/17
Approved by(print): Audrey Kostrzewa
Approved by(signature/date)