HomeMy WebLinkAbout182562 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: T362065 Page 1 of 1
ONE CIVIC SQUARE RICHARD TAYLOR
l CARMEL, INDIANA 46032 10621 RUCKLE ST CHECK AMOUNT: $100.00
INDIANAPOLIS IN 46280
CHECK NUMBER: 182562
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JAN "10 100.00 OTHER PROFESSIONAL FE
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Carm ay
Parks &Recreatilon CHECK REQUEST
Date: 2/1/2010 F 1� X 2010
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Check payable to
Name: Richard F. Taylor III CCPR BOARD MEMBER
Address: 10621 Ruckle Street
City, State, Zip Indianapolis, IN 46280
X Mail check to payee Return check to requestor
Check Amount 100.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 1/12/10,1130/10
2 Meeting(s) (d) 50.00 each= 100.00 January 2010
To be paid from
PO (if applicable) N/A
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):
Approved by (signature of Division Manager),
on this date 2-
Form revised 7 -7 -08 Shared Administrative Forms I 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.
Taylor, Richard F. III Terms
10621 Ruckle Street
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
211110 Jan'10 Park Board meeting attendance 100.00
Total 100.00
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.
Taylor, Richard F. III Allowed 20
10621 Ruckle Street
Indianapolis, IN 46280
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Jan'10 4341999 100.00 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
Is 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund