183149 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363779 Page 1 of 1
ONE CIVIC SQUARE JOSHUA ALBERT KIRSH CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 2202ND AVE NE
CARMEL IA 46032
CHECK NUMBER: 183149
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 FEB 10 50.00 OTHER PROFESSIONAL FE
r
Ca el e Clay
'arks &Recreation CHECK REQUEST
v ay
Date: 31112010 1 jl
1J
Check payable to
Name: Joshua Kirsh CCPR BOARD MEMBER
Address: 220 2 nd Ave. NE
City, State, Zip Carmel, IN 46032
X Mail check to payee Return check to requestor
Check Amount 50.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 2/9110
1 Meeting(s) a@ $50.00 each 50.00 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): I� I d fx V ��M /72�
Approved by (signature of Division Manager):
on this date 3
Form revised 7 -7 -08 Shared /Administrative Forms Staff forms Check Request (rev 7 -7 -08)
V
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invdi a 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.
363779 Kirsh, Joshua Terms
220 2nd Ave., NE
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
311!10 Feb'10 Park Board meeting attendance 50.00
Total 50.00
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.
363779 Kirsh, Joshua Allowed 20
220 2nd Ave., NE
`z Carmel, IN 46032
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #rrITLE 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