185273 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 362448 Page 1 of 1
0 ONE CIVIC SQUARE PATRICIA HACKETT CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 12432 GLENDURGAN DRIVE
CARMEL IN 46032 CHECK NUMBER: 185273
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 APR 10 150.00 OTHER PROFESSIONAL FE
h
Carmel Iay
Parks &Recreation CHECK REQUEST
Date: May 3, 2010 1 MA Y 0 3 201
BY:
1,/..........
Check payable to
Name: Patricia Hackett CCPR BOARD MEMBER
Address: 12432 Glendurgan Drive
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requester
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 4/13/10,4/22/10,4/27/10
3 Meeting(s) 6dD 50.00 each 150.00 April 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): �"�WO
Approved by (signature of Division Manager): 4
on this date
Form revised 7 -7 -08 Shared I Administrative 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.
Terms
362448 Hackett, Patricia
12432 Glendurgan Drive
Carmel, iN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoices) or biA(s)) PO
5!3!10 A r'10 Park Board meeting attendance
150.00
I
Total 150.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
362448 Hackett, Patricia Allowed 20
12432 Glendurgan Drive
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -Genera I Fund
PO# or fNVOICE NO. ACCT #/TiTLE 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