186529 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: T362065 Page 1 of 1
ONE CIVIC SQUARE RICHARD TAYLOR
0 10621 RUCKLE ST CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46280 CHECK NUMBER: 186529
CHECK DATE: 619/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAY10 100.00 OTHER PROFESSIONAL FE
Carmel e Clay
Parks& Recreation CHECK REQUEST
Date: 6/2/2010
JUN 022010
Check payable to
Ju Name: Richard F Taylor III CCPR BOARD MEMBER
Address: 10621 Ruckle Street
City, State, Zip Indianapolis IN 46280
X Mail check to payee return check to requester
Check Amount $100.00 Date Required: ASAP
Check needed for Monthly a for meetings attended 5111110 5113110
2 Meetin s 50.00 each= 100.00 May 2010
To be paid from:
PO (if applicable) N/A
Budget account GL 101 1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
T362065 Taylor, Richard F. III Terms
10621 Ruckle Street
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
612110 Ma '10 Park Board meeting attendance 100.00
Total 100.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
T362065 Taylor, Richard F. III Allowed 20
10621 Ruckie Street
Indianapolis, IN 46280
In Sum of$
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1125 Ma '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
3 -,fun 2010
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund