HomeMy WebLinkAbout184246 04/14/2010 *f CITY OF CARMEL, INDIANA VENDOR: 354361 Page 1 of 1
0 ONE CIVIC SQUARE SUSANNAH H DILLON CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 507 CORNWALL CT
CARMEL IN 46032 CHECK NUMBER: 184246
CHECK DATE: 4114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAR 10 200.00 OTHER PROFESSIONAL FE
Carmel lay
Parks &Rec reation CHECK REQUEST
Date: 4/1/2010 A PR 0 1 201
BY.
Check payable to
Name: Susannah Dillon CCPR BOARD MEMBER
Address: 507 Cornwall Court
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount 200.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 3/6/10,3/9/10,3/16/10,3f23/1 0
4 Meeting(s) (d $50.00 each $200.00 March 2010
To be paid from
PO (if applicable) N/A
Budget account GL 101 1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date /Y/� //0 1/ U
Form revised 7 -7 -08 Shared I Administrative f Forms I Staff forms I Check Request (rev 7 -7 -08)
V
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
354361 Dillon, Susannah
Terms
507 Cornwall Court
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO Amount
411110 Mar'10 Park Board meeting attendance
200.00
Total i$ 200.00
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
1 20
Clerk Treasurer
Voucher No. Warrant No.
354361 Dillon, Susannah Allowed 20
507 Cornwall Court
Carmel, IN 46032
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. 4.CCT #/TITLE AMOUNT Board Members
Dept
1125 Mar'10 4341999 200.00 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
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund