HomeMy WebLinkAbout182364 02/17/2010 *ti CITY OF CARMEL, INDIANA VENDOR: 362448 Page 1 of 1
ONE CIVIC SQUARE PATRICIA HACKETT CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 12432 GLENDURGAN DRIVE
CARMEL IN 46032 CHECK NUMBER: 182364
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JAN '10 200.00 OTHER PROFESSIONAL FE
Carm Clay
Parks &Recreation CHECK REQUEST
Date: 2/1/20110
Om FEB
G
Check payable to AY.. °•••I
Name: Patricia 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 117/10,1112/10 1/26110,1/30/10
4 Meeting(s) 0 50.00 each 200.00 January 2010
To be paid from
PO (if applicable) NIA
Budget account GI- 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): -Cr', /l'�
Approved by (signature of Division Manager):
on this date Csz
Form revised 7 -7 -08 Shared I Administrative I Forms 1 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 Giendurgan Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
211!10 Jan'10 Park Board meeting attendance 200.00
Total 200.00
I 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
a
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 INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
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
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund