183150 03/16/2010 "c•, CITY OF CARMEL, INDIANA VENDOR: 363388 Page 1 of 1
ONE CIVIC SQUARE MARK KLINK CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 1305 W CARDINAL ST
MUNCIE IN 47303 CHECK NUMBER: 183150
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 3 150.00 ADULT CONTRACTORS
Cdrmel�` Cla��
Parks &Recreation CHECK REQUEST
Date:
Q A n
Check payable to
Name: M(a( I k
Address: L3 0 Ca
City, State, Zip U nc I e,
Mail check to payee Return check to requestor
Check Amount IS U a V Date Required
Check needed for t
To be paid from
PO (if applicable) 2— \S
Budget account GL 0 s H y2 `-1 Qgo n
Budget Line Description OQf CA M Co a
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): Sr V n n 1
Requested by (signature):
Approved by (signature of Division Manager): W"'
on this date
9 V IE II W/ ��9 Ifp Form revised 1 -21 -08
FEB 2 5 2010
BY..
ACCOUNTS PAYABLE VOUCHER
l-� 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.
363388 Klink, Mark C. Terms
1305 W Cardinal St.
Muncie, IN 47303
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2111110 3 DJ PA Mini Prom CE 3126110 23152 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
V
Voucher No. Warrant No.
363388 Klink, Mark C. Allowed 20
1305 W Cardinal St.
Muncie, IN 47303
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -1 3 4340800 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
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund