HomeMy WebLinkAbout181179 01/13/2010 ,4 CITY OF CARMEL, INDIANA VENDOR: 00352834 Page 1 of 1
f ONE CIVIC SQUARE DAN DUTCHER
CARMEL, INDIANA 46032 11583 SUTTON PLACE CHECK AMOUNT: $100.00
o o CARMEL IN 46032 CHECK NUMBER: 181179
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 100.00 OTHER PROFESS TONAL FE
Carmel 0 Clay
Parks &Recreation CHECK REQUEST �y y
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y .3' a 1
Date: 1/4/2010 l& JAN 0 4 2010 J
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Check payable to:
Name: Daniel Dutcher CCPR BOARD MEMBER
Address: 11583 Sutton Place Drive
City, State, Zip Carmel, IN 46032
X Mail check to payee Return check to requestor
Check Amount: 100.00 Date Required: ASAP
Check needed for: Monthly pay for meetings attended 12/8/09,12/22/09
2 Meeting(s) (1a. 50.00 each $100.00 December 2009
To be paid from:
PO (if applicable) N/A
Budget account GL 101- 1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature): /thWriVin.a)
Approved by (signature of Division Manager):
on this date A'/ U
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
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.
00352834 Dutcher, Daniel Terms
11583 Sutton Place Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/4/10 Dec'09 Park Board meeting attendance 100.00
Total 100.00
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
Voucher No. Warrant No.
00352834 Dutcher, Daniel Allowed 20
11583 Sutton Place Drive
Carmel, IN 46032
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1125 Dec'09 4341999 100.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
7 Jan 2010
I_ x"14 _�1 /A V
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund