HomeMy WebLinkAbout190364 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LEND
G CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 2109 N ROSEWOOD AVE
MUNCIE IN 47304 CHECK NUMBER: 190364
CHECK DATE: 9129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 125.00 ADULT CONTRACTORS
Carmel e Clay
Parks &Recreati ®n CHECK REQUEST
Date: 9/10/10
SEP _1 6 2010
Check payable to
Name: Anna M. Leno
Address: 2109 N. Rosewood Ave.
City, State, Zip Muncie In, 47304
Mail check to payee x Return check to requestor
Check Amount 125.00
Date Required October W, 2010
Check needed for: Site Celebration
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 1081 -4 Budget Line 4340800
Budget Line Description Program Contractor
Requested by (print): Valeska Simmonds
Requested by (signature): C�
Approved by (signature of Division Manager):
on this date
Anna M Leno INVOICE
2109 N Rosewood Ave Purchase Order 23245
Muncie, IN 47304
317.656.7352 r. invoice Date: September 7, 2010
1
Order Information:
Forrest Dale Elementary on the date of October 19, 2010 at 4:30 pm 7:00 pm
Product Description Rate Hours Amount
DJ and P.A. Rental $50 /hr 2.5 $125
Total: $125:00
Please make all checks payable to Anna Leno.
Purchase
Descriptlon
P.O. P oii�
G.L.
Bud
Line Descr S
Purchaser ��ti�v.c5 Date
Approval Dat O
9
SEr 1 6 2010
BY:—
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.
364270 Leno, Anna Terms
2109 N. Rosewood Ave.
Muncie, IN 47304
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
917/10 10/19/10 DJ PA FD 10/19/10 125.00
Total 125.00
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.
i
364270 Leno, Anna 9 Allowed 20
2109 N. Rosewood Ave.
Muncie, IN 47304
*new addresss In Sum of
125.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 -4 10/19/10 4340800 125.00 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
23 -Sep 2010
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund