HomeMy WebLinkAbout181410 01/13/2010 P7�a CITY OF CARMEL, INDIANA VENDOR: 354376 Page 1 of 1
ONE CIVIC SQUARE TIMOTHY P TOLSON
L,: CARMEL, INDIANA 46032 110 SHOSHONE DRIVE CHECK AMOUNT: $50.00
CARMEL IN 46032 CHECK NUMBER: 181410
PX
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 50.00 OTHER PROFESSIONAL FE
Carmel 0 Clay
Parks &Recreation CHECK REQUEST
'--a 111
Date: 1/4/2010 i' JAN 0 4 2010
Check payable to:��
Name: Timothy Tolson CCPR BOARD MEMBER
Address: 110 Shosone Drive
City, State, Zip Carmel, IN 46032
X Mail check to payee Return check to requestor
Check Amount: 50.00 Date Required: ASAP
Check needed for: Monthly pay for meetings attended 12/22/09
1 Meetinq(s) 50.00 each 50.00 December 2009
To be paid from:
PO (if applicable) N/A
Budget account GL 101 -1125- 4341999
Budget Line Description Other Professional Fees
invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature): i2 4
r
Approved by (signature of Division Manager):
on this date i A t
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
V
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
354376 Tolson, Timothy Terms
110 Shosone Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/4/10 Dec'09 Park Board meeting attendance 50.00
Total 50.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
354376 Tolson, Timothy Allowed 20
110 Shosone Drive
Carmel, IN 46032
In Sum of$
50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or Board Members
INVOICE NO. ACCT #!TITLE AMOUNT
Dept
1125 Dec'09 4341999 50.00 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
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund