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