185229 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
CARMEL,, INDIANA 46032 13851 RIVERWOOD WAY CHECK AMOUNT: $150.00
CARMEL IN 46032
CHECK NUMBER: 185229
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 APR 10 150.00 OTHER PROFESSIONAL FE
Carmel o Clay
Parks &Recreation CHECK REQUEST
R.
Date: May 3, 2010 MAY 0 3 20
Check payable to
Name: James En ledow CCPR BOARD MEMBER
Address: 13851 Riverwood Way
City, State, Zip Carmel, IN 46032
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for: Monthly pay for meetings attended 4113/10,4/22/10.4/27/10
3 Meeting s 50.00 each 150.00 Aril 2010
To be paid from
PO (if applicable) NIA
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):
Lure of Division Manager): r�
Approved by {signs
on this date -/D
Form revised 7 -7 -08 Shared Administrative I Forms I Staff forms I 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.
354363 Engledow, James Terms
13851 Riverwood Way
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
513110 Apr'10 Park Board meeting attendance 150.00
Total 150.00
I hereby certify that the attached invoice(s), or bills) 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.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. 4,CCT WTITLE AMOUNT Board Members
Dept
1125 A r'10 4341999 150.00 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
5 -May 2010
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund