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HomeMy WebLinkAbout185325 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 355133 Page 1 of 1 ONE CIVIC SQUARE AUDREY B KOSTRZEWA CARMEL, INDIANA 46032 2592 TURNING LEAF LANE CHECK AMOUNT: $200.00 CARMEL IN 46032 CHECK NUMBER: 185325 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 1 200.00 CHANGE FUND CarmeleCl Parks &Recreation CHECK REQUEST Date: April 30, 2010 Check payable to Name: Audrey Kostrzewa Address: CCPR City, State, Zip Mail check to payee XX Return check to requestor Check Amount 200.00 Date Required ASAP Check needed for Replinish change fund at the Monon Community Center Pursuant to Resolution B- 2010 -004 CCPR 4127/10 Board meeting To be paid from PO (if applicable) Budget account GL 1092 4358400 Budget Line Description Refunds Awards Indemnities Invoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): Paula Schlemmer Requested by (signature): Approved by (signature of Division Manager): b �J on this date 0 Form revised 7 -7 -08 Shared Administrative I Forms 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. 355133 Kostrzewa, Audrey Terms CCPR Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 04/30/10 Ck Request Re linish change fund at MCC $200.00 Total 200.00 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 f y Voucher No. Warrant No. 355133 Kostrzewa, Audrey Allowed 20 CCPR Carmel, IN 46032 In Sum of 200.00 f t ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1092 Ck Request 4358400 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 5 -May 2010 Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I