182462 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 355613 Page 1 of 1
ONE CIVIC SQUARE JOE MILLER CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 13607 THISTLEWOOD DRIVE E
CARMEL IN 46032 CHECK NUMBER: 182462
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JANUARY 10 150.00 3 MEETINGS
Carmel e Clay
Parks &Recreation CHECK REQUEST
d
Date: 2/1/2010 f LEB 1 2010 vJ
Check payable to
Name: Joe Miller CCPR BOARD MEMBER
Address: 13607 Thistlewood Dr. E.
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Re uired: ASAP
Check needed for Monthly pay for meetings attended 1/12/10,1/26/10,1 /30/10
3 Meeting(s) C& 50.00 each 150.00 Janua 2010
To be paid from
PO (if applicable) N/A
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): X211
i
Approved by (signature of Division Manager): C
on this date
Form revised 7 -7 -08 Shared Administrative 1 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.
355613 Miller, Joe Terms
13607 Thistlewood Dr. E
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/1/10 Jan'10 Park Board meeting attendance 150.00
Total 150.00
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
Voucher No. Warrant No.
355613 Miller, Joe Allowed 20
13607 Thistlewood Dr. E
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE N0. ACCT #/TITL AMOUNT Board Members
Dept
1125 Jan'10 43419916 150.00 1 hereby certify that the attached invoice(s), or
f bill(s) is (are) true and correct and that the
r. materials or services itemized thereon for
which charge is made were ordered and
received except
11 -Feb 2010
Signature
i 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund