185274 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 362449 Page 1 of 1
ONE CIVIC SQUARE JUDITH HAGAN
CARMEL, INDIANA 46032 10946 SPRING MILL LANE CHECK AMOUNT: $10b.00
CARMEL IN 46032 CHECK NUMBER: 185274
4�Ow GO
CHECK DATE: 5/11/2010
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 APR 10 100.00 OTHER PROFESSIONAL FE
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: May 3 2010 MAY 0 3 2010
Check payable ta BY
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 100.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 4/13110,4/27/10
2 Meeting(s) an, $50.00 each $100.00 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): Pauia Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
onthisdate 5 5 JD U
Form revised 7 -7 -08 Shared 1 Administrative I Forms Staff forms l 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
362449 Hagan, Judith
10946 Spring Mill Lane
Carmel, 1N 46032
Invoice Invoice Description Amount
note invoice(s) or bill(s)) PO
Date Number (or noe a 100.00
513110 A 00 Park Board meeting attendance
Total 100.00
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.
362449 Hagan, Judith Allowed 20
10946 Spring Mill Lane
Carmel, IN 46032
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. CCT XTITLE AMOUNT Board Members
Dept
1125 A r'10 4341999 100.00 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
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund