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183144 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1 ONE CIVIC SQUARE JOAN KETTERMAN CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE CHECK AMOUNT: $100.00 CARMEL IN 46033 CHECK NUMBER: 183144 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 FEB 10 100.00 OTHER PROFESSIONAL FE Carmel 0 Clay Parks &Recreation CHECK REQUEST Date: 3/1/2010 MiIR 3c Check payable to Name: Joan Ketterman CCPR BOARD MEMBER Address: 3413 Eden Hollow Place City, State, Zip Carmel IN 46033 X Mail check to payee Return check to requestor Check Amount 100.00 Date Required ASAP Check needed for Monthly pay for meetings attended 2/9/10,2/23/10 2 Meetings ED $50.00 each= $100.00 February 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): 7 /���GC�� /�K �y l�G /YYl maof 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. 354367 Ketterman, Joan Terms 3413 Eden Hollow Place Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3/1/10 Feb'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. 354367 Ketterman, Joan Allowed 20 3413 Eden Hollow Place Carmel, IN 46033 In Sum of 100.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members Dept 1125 Feb'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 -Mar 2010 Signature 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund