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HomeMy WebLinkAbout181227 01/13/2010 4 CITY OF CARMEL, INDIANA VENDOR: 362448 Page 1 of 1 f ONE CIVIC SQUARE TRICIA HACKETT CHECK AMOUNT: $200.00 •ie A, CARMEL, INDIANA 46032 12432 GLENDURGAN DRIVE or s CARMEL IN 46032 CHECK NUMBER: 181227 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 200.00 OTHER PROFESSIONAL FE Carmel Clay Parks &Recreation CHECK REQUEST Date: 1/4/2010 d4 JAN 0'4 2010 BY: HQ Check payable to: Name: Paricia Hackett CCPR BOARD MEMBER Address: 12432 Glendurgan Drive City, State, Zip Carmel, IN 46032 X Mail check to payee Return check to requestor Check Amount: 200.00 Date Required: ASAP Check needed for: Monthly pay for meetings attended 12/8/09,12/10/09,12/17/09 ,12122/09 4 Meeting(s),P. 50.00 each 200.00 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): /1 Approved by (signature of Division Manager): 7.41Yt on this date V 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. 362448 Hackett, Patricia Terms 12432 Glendurgan 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 200.00 Total 200.00 1 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. 362448 Hackett, Patricia Allowed 20 12432 Glendurgan Drive Carmel, IN 46032 In Sum of 200.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or Board Members INVOICE NO. ACCT #/TITLE AMOUNT Dept 1125 Dec'09 4341999 200.00 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 L 9 Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund