HomeMy WebLinkAbout187838 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 362448 Page 1 of 1
ONE CIVIC SQUARE PATRICIA HACKETT CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 12432 GLENDURGAN DRIVE
CARMEL IN 46032 CHECK NUMBER: 187838
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 150.00 OTHER PROFESSIONAL FE
Ca rmel Lay
Parks &Recreation CHECK REQUEST
Date: July 2 2010 2010 ly
Check payable to 6�
BY:
Name: Patricia Hackett CCPR BOARD MEMBER
Address: 12432 Glendur an Drive
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Re uired: ASAP
Check needed for Monthly oav for meetings attended 6/8/10,6/10/10,6/22110
3 Meeting(s) Ca) 50.00 each 150.00 June 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): Paula Schlemmer
Requested by (signature):
Ap b nature of Division Manager):
pp Y signature
on this date �/6 /l D
Form revised 7 -7 -08 Shared Administrative 1 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.
362448 Hackett, Patricia Terms
12432 Glendurgan Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) PO Amount
7/2/10 Jun'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
I
Voucher No. Warrant No.
362448 Hackett, Patricia Allowed 20
12432 Glendurgan Drive
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1125 Jun'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
15 -Jul 2010
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund