HomeMy WebLinkAbout188079 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: T362065 Page 1 of 1
ONE CIVIC SQUARE RICHARD TAYLOR
CARMEL, INDIANA 46032 10621 RUCKLE ST CHECK AMOUNT: $150.00
;o+ INDIANAPOLIS IN 46280
CHECK NUMBER: 188079
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 150.00 OTHER PROFESSIONAL FE
;r
Car me, I o Clay
Darks &Recreation CHECK REQUEST
Date: July 2, 2010
JUL 022010
Check payable to BYs
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 requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meeting attended 6/8/10
3 Meeting(s) $50.00 each 150.00 June 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): Pa Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date zz U
Form revised 7 -7 -08 Shared I Administrative I Forms I Staff forms I Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
b 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
712!10 Jun'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.
T362065 Taylor, Richard F. III Allowed 20
10621 Ruckle Street
Indianapolis, IN 46280
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
s
PO# or INVOICE NO. ACCT #/TITLE 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