183272 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY CHECK AMOUNT: $150.00
CARMEL IN 46032
CHECK NUMBER: 183272
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 150.00 OTHER PROFESSIONAL FE
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Carrel Clay
Parks &Recreation CHECK REQUEST
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Date: 3/1/2010 ]MAR 0 4 1 2010
Check payable to BY:
Name: James Engledow CCPR BOARD MEMBER
Address: 13851 Riverwood Way
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requester
Check Amount 150.00 Date Required ASAP
Check needed for Monthly Pay for meetings attended 2/9/10,2/11/10,2/23/10
3 Meeting(s) (a $50.00 each $150.00 February 2010
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):
Ap b nature of Division Manager): 1
pp y signature
on this date
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
ti 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.
354363 Engledow, James Terms
13851 Riverwood Way
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/1/10 Feb'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
z'
Voucher No. Warrant No,
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of
1 50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Feb'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 -Mar 2010
Signature
15050 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund