HomeMy WebLinkAbout184383 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 363431 Page 1 of 1
ONE CIVIC SQUARE CAMERON LUO
1 CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 12715 COVERED BRIDGE ROAD
SELLERSBURG IN 47172 CHECK NUMBER: 184383
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 50.00 PRIZE MONEY
Carmel Clay
Parks &ReUeation CHECK REQUEST
Date: d 0 3039T
MAR 2 4 1010
Check payable to BY:
Name:
Address: dS'e 4C
City, State, Zip
Mail check to payee Return check to requestor
Check Amount 5o C d Date Required
Check needed for 211 IYIC� In C7�o�p CAt
Qi1 �YYIj�lUY1I�/ �!?11'�c�r ,/2C'b
Supporting documentation or receipt(s) MUST be attached.
To be paid from n 11
PO M C.Lbn4 la
Budget account GL# MG`50 4Z3) 6X
Budget Line Description GCnC 6CJ P f Ohre Vr,
Requested by (print):
Requested by (signature): t ✓1-�
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
Luo, Cameron
12715 Covered Bridge Rd.
Sellersburg, IN 47172
Invoice Invoice Description PO Amount
Date Number (or note attached invoices) or bill($))
50.00
3113110 USATT USATT winner
Total 50.00
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.
Luo, Cameron Allowed 20
12715 Covered Bridge Rd,
Sellersburg, IN 47172
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1096 -50 USATT 4239039 50.00 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
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund