182332 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY CHECK AMOUNT: $200.00
CARMEL IN 46032 CHECK NUMBER: 182332
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CHECK DATE: 211712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JAN'10 200.00 OTHER PROFESSIONAL FE
C ar m el c lay
Parks &Recreation CHECK REQUEST
Date: 211110 F i3F�` 20
$7; .......:..l.........
Check ppygible to:
Name: James En ledow CCPR BOARD MEMBER
Address: i 3551 48-1 Riverwood Way
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 a for meetings attended W/10,11/12/110,11/26/10,11/30111 0
4 Meeting(s) Q 60.00 each $200.00 January 2010
To be paid from:
PO (if applicable) NIA
Budget account GL 101 1125- 4341999
Budget Line Description Other Professional Fees
lnvoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature): VI
�2
Ap by (signature of Division Manager):
l
on this date /C a
Form revised 7 -7 -08 Shared I Administrative I Forms Staff forms I 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.
354363 Engledow, James Terms
13851 Riverwood Way
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
211110 Jan'10 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.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept ept
1125 Jan'10 4341999 200.00 1 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
11 -Feb 2010
�7 Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund