184269 04/14/2010 a CITY OF CARMEL, INDIANA VENDOR: 363796 Page 1 of 1
ONE CIVIC SQUARE WENDY KAY FRANKLIN
CARMEL, INDIANA 46032 36 HORSESHOE LANE CHECK AMOUNT: $200.00
CARMEL IN 46033
CHECK NUMBER: 184269
CHECK DATE: 4114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAR 10 200.00 OTHER PROFESSIONAL FE
s':
Carmel C lay
Parks &Recreation CHECK REQUEST
o
Date: MONEYE
411110 A P R 0 1 2010
Check payable to
Name: Wendy Franklin CCPR BOARD MEMBER
Address: 36 Horseshoe Lane
City, State, Zip Carmel, IN 46033
X Mail check to payee Return check to requestor
Check Amount 200.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 3/6/10,3/9/10,3/16/10,3/23/10
4 Meetin s 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 Schlemm
Requested by (signature): /(/f�'!d
Approved by (signature of Division Manager):
on this date y/S
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -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.
363796 Franklin, Wendy Terms
36 Horseshoe Lane
Carmel, IN 46033
J
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 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.
363796 Franklin, Wendy Allowed 20
36 Horseshoe Lane
Carmel, IN 46033
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACOT WTITLE 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
l/-
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title i
claim paid motor vehicle highway fund