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184353 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1 ONE CIVIC SQUARE JOAN KETTERMAN i CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE CHECK AMOUNT: $200.00 CARMEL IN 46033 CHECK NUMBER: 184353 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 MAR 10 200.00 OTHER PROFESSIONAL FE r_ Carmel o Clay Parks &Recreation CHECK REQUEST Date: 4/1110 APR 0 1010 Check payable to .I Name: Joan Ketterman CCPR BOARD MEMBER Address: 3413 Eden Hollow Place 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 3/6/10,3/9/10,3/16110,3/23/10 4 Meetings (a) $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 Form revised 7 -7 -08 Shared Administrative I Forms Staff forms I Check Request (rev 7 -7 -08) i' 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. 354367 Ketterman, Joan Terms 3413 Eden Hollow Place Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/1/10 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. 354367 Ketterman, Joan Allowed 20 3413 Eden Hollow Place Carmel, IN 46033 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