HomeMy WebLinkAbout184303 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362449 Page 1 of 1
ONE CIVIC SQUARE JUDITH HAGAN
CARMEL, INDIANA 46032 10946 SPRING MILL LANE CHECK AMOUNT: $200.00
CARMEL IN 46032
CHECK NUMBER: 184303
CHECK DATE: 4/14/2010
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAR 10 200.00 OTHER PROFESSIONAL FE
Carm Tay
Parks &Recreation CHECK REQUEST
Date: 411110 A P R 0 1 20
Check payable to
Name: Judith Hagan CCPR BOARD MEMBER
Address: 10946 Spring Mill Lane
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount 200.00 Date Re uired: ASAP
Check needed for Monthly pay for meetings attended 3/6/10 0
4 Meeting(s) Cad $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 Schlem
Requested by (signature): I
Approved by (signature of Division Manager):
on this date y /-5-1C> (�j
Form revised 7 -7 -08 Shared I Administrative 1 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.
362449 Hagan, Judith Terms
10946 Spring Mill Lane
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 200.00
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.
362449 Hagan, Judith Allowed 20
10946 Spring Mill Lane
Carmel, IN 46032
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #fTITLE 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