182359 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363797 Page 1 of 1
ONE CIVIC SQUARE MYRA GULLEY
CARMEL, INDIANA 46032 6116 N MERIDIAN ST WEST DRIVE CHECK AMOUNT: $500.00
INDIANAPOLIS IN 46208 CHECK NUMBER: 182359
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350900 JAN 10 500.00 OTHER CONT SERVICES
Myra Gulley I
6116 N. Meridian St. West Dr.
Indianapolis, IN 46208
(765) 993.0984
DATE: JANUARY 8, 2010
TO: FOR:
THE MONON CENTER Internship
Carmel Clay Parks and Recreation Independent Contractor Service Agreement
1235 Central Park Drive East
Carmel, Indiana 46032
Phone 317.573.5238 Fax 317.573.5254
DESCRIPTION RATE AMOUNT
Internship (Spring 2010)
January Billing �4. fit€ $500 $500
JAN 2 5
�a
Purchase
Description
P.O. q 9 P
G.11- s Q96-99. y350900
Budget 0 heir G�rt�
Line Descr 5ey i c
Purchaser kaa M ien h t 0
Approval U
Total $500.00
I understand that this contract may be verbally terminated for any reason at any time.
I also understand that I am deemed as an independent contractor and am not considered an employee of CCPR.
In any case of discrepancy or if I have any questions, I will notify the Recreation Manager, Kate Schneider.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
Gulley, Myra
6116 N. meridian St. West Dr
Indianapolis, IN 46208
Invoice Invoice Description
Date Number or note attached invoice(s) or bill(s)) PO Amount
118110 Jan'10 Internship Jan'10
23066 500.00
Total 500.00
I hereby certify that the attached invoice(s), or bill($) 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.
Gulley, Myra Allowed 20
6116 N. meridian St. West Dr
Indianapolis, IN 46208
In Sum of
500.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members
Dept
1096 -99 Jan'10 4350900 500.00 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
Signature
500.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund