HomeMy WebLinkAbout188916 08/18/2010 4. CITY OF CARMEL, INDIANA VENDOR: 355613 Page 1 of 1
ONE CIVIC SQUARE JOE MILLER
13607 THISTLEW00D DRIVE E CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 188916
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 100.00 OTHER PROFESSIONAL FE
Carr e1 a Cy
Parks &Recreation CHECK REQUEST
Date: August 3, 2010' AUG 3 2010 �r
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 100.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 7/13/10,7/27/10
2 Meeting(s) $50.00 each 100.00 July 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): !'it
Approved by (signature Division Manager):
on this date
Form revised 7 -7 -08 Shared I Administrative 1 Forms I 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.
Terms
355613 Miller, Joe
13607 Thistlewood Dr. E
Carmel, IN 46032
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
100.00
813110 Jul' 10 Park Board meeting attendance
Total 100.00
or bill(s) is (are) true and correct and I have audited same in accordance
I hereby certify that the attached invoice(s),
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
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
1125 Jul'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
12-Aug 2010
T
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund