184167 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364036 Page 1 of 1
ONE CIVIC SQUARE OLUWOLE AYANGADE CHECK AMOUNT: $75.00
s` �lra CARMEL, INDIANA 46032 4813 VAN BUREN
GARY IN 46408 CHECK NUMBER: 184167
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 USATT 75.00 GENERAL PROGRAM SUPPL
Carmel Clay
Parks Recreat loh CHECK REQUEST
Date: l
I D MIERV3
MA 2 42010
Check payable to
Name: OL.Uwar ��o
Address: L 13 U/� 8V
City, State, Zip l r 1 1 D y `f 6 4
M ail check to payee Return check to requestor
Check Amount 5. 00 Date Required
Check needed for 'Zn Pic, Cc t n UT
j r� �omgvA i L OA k 30-6,Q' 4" o 93
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Po
Budget account GL IDS L Z gZYj G 3S
Budget Line Description )eCCYC, I �r)� rGr
y�
Requested by (print): �A L�
Requested by (signature):
Approved by (signature of Division Manager): 1 11 J
on this date
Form revised 1 -21 -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.
Ayangade, Oluwole Terms
4813 Van Buren
Gary, IN 46408
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/13/10 USATT USATT winner 75.00
Total 75.00
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.
Ayangade, Oluwole Allowed 20
4813 Van Buren
Gary, IN 46408
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #f'rITLE AMOUNT Board Members
Dept
1096 -50 USATT 4239039 75.00 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
8 -Apr 2010
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund