190014 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: T362065 Page 1 of 1
ONE CIVIC SQUARE RICHARD TAYLOR
CARMEL INDIANA 46032 3220 E 104TH STREET CHECK AMOUNT: $150.00
4!�e CARMEL IN 46033
CHECK NUMBER: 190014
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 08 /10 150.00 OTHER PROFESSIONAL FE
Carme
arks &Recreation CHECK REQUEST
Date: 9/2/2010
Check payable to
Name: Richard F. Taylor III CCPR BOARD MEMBER
Address: 3220 East 104" Street
City, State, Zip Carmel IN 46033
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 8/10/10,8/12/10,8/24/10
3 Meeting(s) (E $50.00 each $150-00 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): Paula Schlemmer
Requested by (signature):
Approved by (signature of visio Manager):
on this date
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.
T362065 Taylor, Richard F. III Terms
3220 East 104th Street
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
912!10 Aug'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 1C 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
T362065 Taylor, Richard. F. III Allowed 20
3220 East 104th Street
Carmel, IN 46033
NEW;ADDRESS In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1125 Au '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
9 -Sep 2010
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund