184310 04/14/2010 a- CITY OF CARMEL, INDIANA VENDOR: 364040 Page 1 of 1
ONE CIVIC SQUARE SCOTT HARRIS CHECK AMOUNT: $25.00
s' CARMEL, INDIANA 46032 2864 SOUTHSIDE DRIVE
TROY OH 45373 CHECK NUMBER: 184310
CHECK DATE: 4/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 USATT 25.00 GENERAL PROGRAM SUPPL
Carmel Clair
Parks &Recreation CHECK REQUEST
Date:
MAR 2 4 2010
Check payable to
Name: ho'f
Address: 2 i `f' LjjiS i e 1
City, State, Zip T'z) V-7
Mai! check to payee Return check to requestor
Check Amount �S 00 Date Required j
Check needed for Ce
pono
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO p 1 �a4LO
Budget account GL C,
0C b 6 z C-�
Budget Line Description GCrI 1� n rr)�,Y .'O c?-�
Requested by (print): M L�� r
Requested by (signature): -4��Ls
Approved by (signature of Division Manager):
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.
Harris, Scott Terms
J 2864 Southside Dr
Troy, OH 45373
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/13110 USATT USATT winner 25.00
Total 25.00
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
Voucher No. Warrant No.
Harris, Scott Allowed 20
2864 Southside Cr
Troy, OH 45373
In Sum of
25.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE No. I AcCT #/TITLE AMOUNT Board Members
Dept
1096 -50 USATT 4239039 25.00 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
25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund