HomeMy WebLinkAbout184257 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY
v «o CARMEL IN 46032 CHECK NUMBER: 184257
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAR 10 200.00 OTHER PROFESSIONAL FE
a
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 4/1/2010 I IE 30 2 9 V
APR 0 1 10)0
22
Check payable to
Name: James En ledow CCPR BOARD MEMBER
Address: 13851 Riverwood Way
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 3/6/10,3/9/10,3/11/10,3116/10
4 Meeting(s) (d) $50.00 each 200.00 March 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 S c hlemm e f r
Requested by (signature): �'dell&'Mxn'
Approved by (signature of Division Manager):
on this date
Form revised 7 -7 -08 Shared I Administrative Forms Staff forms I Check Request (rev 7 -7 -08)
`1/
ACCOUNTS PAYABLE VOUCHER
f 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.
354363 Engledow, James Terms
13851 Riverwood Way
Carmel, IN 46032
In;Da te;[ Invoice Description
Number (or note attached invoices) or bill(s)) PO Amount
Mar'10 Park Board meeting attendance 200.00
Total 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
20_
Clerk- Treasurer
Voucher No. Warrant No.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT#iTITLE 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