183261 03/16/2010 a CITY OF CARMEL, INDIANA VENDOR: 354361 Page 1 of 1
ONE CIVIC SQUARE SUSANNAH H DILLON
i CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 507 CORNWALL CT
CARMEL IN 46032 CHECK NUMBER: 183261
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 50.00 OTHER PROFESSIONAL FE
Carrel a Clay
Parks &Recreation CHECK REQUEST
130 YREVA
Date: 3/1/2010 MAR 0
Check payable to
Name: Susannah Dillon CCPR BOARD MEMBER
Address: 507 Cornwall Court
City, State, Zip Carmel. IN 46032
X Mai! check to payee Return check to requestor
Check Amount $50.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 2123110
1 Meeting(s) $50.00 each $50.00 February 2010
To be paid from
PO (if applicable) N/A
Budget account GL 101 1125- 4341999
Budget Line Description Other Professional Fees
!nvoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature): f C,C,(- -Lcu Tn rrt -vr
Approved by (signature of Division Manager):
on this date
Form revised 7 -7 -08 Shared Administrative Forms I Staff forms 1 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.
354361 Dillon, Susannah Terms
507 Cornwall Court
Carmel, IN 46032
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
50.00
311110 Feb'10 Park Board meeting attendance
Total 50.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and l have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk Treasurer
Voucher No. Warrant No.
354361 Dillon, Susannah Allowed 20
507 Cornwall Court
Carmel, IN 46032
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. A.CCT WrITLE AMOUNT Board Members
Dept
1125 Feb'10 4341999 50.00 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
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund