189096 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
e i CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY
CARMEL IN 46032 CHECK NUMBER: 189096
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JULY 2010 50.00 OTHER PROFESSIONAL FE
Ca rmel Ly
Pa rks CHECK REQUEST
Date: August 3 2010 AUG 0 3 20 10
BY:.... :JQ.........
Check payable t_o
Name: James Engledow CCPR BOARD MEMBER
Address: 13851 Riverwood Way
City, State, Zip Carmel, IN 46032
X Mail check to payee Return check to requestor
Check Amount 50.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 7127110
1 Meeting(s) CcD $50.00 each 50.00 July 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): L
Approved by (signature of Divi Manager):
on this date 9 /3!/0
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
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
813110 Jull0 Park Board meeting attendance 50.00
Total j 50.00
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
50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1125 Jul'10 4341999 50.00 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
12 -Aug 2010
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund