189866 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1
ONE CIVIC SQUARE JOAN KETTERMAN
CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE CHECK AMOUNT: $50.00
CARMEL IN 46033
CHECK NUMBER: 189866
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 AUG '10 50.00 OTHER PROFESSIONAL FE
C3FM 0 Clay
Parks &Re Creation CHECK REQUEST
Date: 9/212010
Check payable to
Name: Joan Ketterman CCPR BOARD MEMBER
Address: 3413 Eden Hollow Place
City, State, Zip Carmel, IN 46033
X Mail check to payee Return check to requestor
Check Amount 50.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 8124110
1 Meetings na $50.00 each $50.00 August 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). Pa Z ullaSchlemmer
Requested by (signature): �J�C�
Ap b nature f Division Manager):
6/
pp Y signature
on this date 2/l v
Form revised 7 -7 -08 Shared l 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.
354367 Ketterman, Joan Terms
3413 Eden Hollow Place
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
912!10 Au '10 Park Board meeting attendance 50.00
Total 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 Nod Warrant No.
354367 Ketterman, Joan Allowed 20
3413 Eden Hollow Place
Carmel, IN 46033
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1125 Aug'10 4341 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
9 -Sep 2010
_PV�C17AM&M
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund