186431 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 355613 Page 1 of 1
ONE CIVIC SQUARE JOE MILLER
CARMEL, INDIANA 46032 13607 TH S7L1iw000 DRIVE CHECK AMOUNT: $150.00
CARMEL IN 46032
<,o ry�o CHECK NUMBER: 186431
CHECK DATE: 6/9/2010
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 0510 150.00 OTHER PROFESSIONAL FE
1
Carmel a Clay
Parks &Recreation CHECK REQUEST
7
Date: 6/2/2010 J U N U 2 2010
e.......................
Check payable to
Name: Joe Miller CCPR BOARD MEMBER
Address: 13607 Thistlewood Dr. E.
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 5111110 5113110 5125110
3 Meeting(s) Cap each= 150.00 May 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): Pau Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date Z/— 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.
355613 Miller, Joe Terms
s� 13607 Thistlewood Dr. E
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
612/10 Ma '10 Park Board meeting attendance 150.00
Total 150.00
1 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.
355613 Miller, Joe Allowed 20
13607 Thistlewood Dr. E
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #1TITLE 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