186288 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
0 CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY
CARMEL IN 46032 CHECK NUMBER: 186288
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAY 150.00 OTHER PROFESSIONAL FE
•t
Care e Clay
Parks &Recreation CHECK REQUEST
WU,1Lq 0
Date: 6/2/2010
JUN 0 2 2010 r
m 'Yn
Check payable to
Name: James Engledow CCPR BOARD MEMBER
Address: 13851 Riverwood Way
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 5111110, 5113110, 5125/10
3 Meeting(s) d) $50.00 each 150.00 May 2010
To be paid from
PO (if applicable) NIA
Budget account GL 101 11254341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date U
Form revised 7 -7 -08 Shared Administrative Forms Staff forms 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
�r
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
612110 Ma '10 Park Board meeting attendance 150.00
Total 150.00
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.
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. ACCT #rrITLE AMOUNT Board Members
Dept
1125 Ma '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
3 -Jun 2010
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund