182419 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363779 Page 1 of 1
ONE CIVIC SQUARE JOSHUA ALBERT KIRSH
CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 220 2ND AVE NE
CARMEL IA 46032 CHECK NUMBER: 182419
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JAN'10 150.00 OTHER PROFESSIONAL FE
I l
Car e Ia
Parks &Recreation CHECK REQUEST
Date: 2/1/2010 F F 3 u 2010
Check payable to
Name: Joshua Kirsh CCPR BOARD MEMBER
Address: 2202 nd Ave. NE
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended /12/10,1/26/10, 1130110
3 Meeting(s) (a $50.00 each $150.00 January 2 010
To be paid from:
PO (if applicable) NIA
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): G C 'C1U
Approved by (signature of Division Manager):
on this date
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.
Kirsh, Joshua Terms
220 2nd Ave., NE
Carmel, IN 46032
a
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
211110 Jan'10 Park Board meeting attendance 150.00
Total 150.00
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.
Kirsh, Joshua Allowed 20
220 2nd Ave., NE
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #ITITL AMOUNT Board Members
Dept
1125 Jan'10 4341999 150.00 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
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund