190421 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364760 Page 1 of 1
ONE CIVIC SQUARE AMY PAULSON
CHECK AMOUNT: $206.42
CARMEL, INDIANA 46032 6250 LAKESHORE TRAIL E DR APT 313
INDIANAPOLIS IN 46250 CHECK NUMBER: 190421
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 206.42 ADULT CONTRACTORS
Pulrohlâ–º
Amy Paulson
8250 Lakeshore Trail E. drive Apt. 313 P.O. P *rF u v O C I-r-
Indianapolis, 46250 L
Q .L. 0
Budget
Line aesor
Purch L
DATE: 9/3/10-9/7/10
TO: FOR:
Temporary Sub contractor
Carmel Clay Parks Recreation Inclusion Facilitator
1235 Central Park Drive East
Carmel IN 46032
317.555.SITE ]BY
DESCRIPTION HOURS RATE AMOUNT
August 26t 2010 2:30 -5:45 12.16 39.52
August 27 2010 2:30 -5:30 12.16 36.18
August 30` 2010 2:30- 5:00 12.16 30.4
Sept 1, 2010 2:30 -5:30 12.16 36.48
Sept 3, 2010 2:30- 5:30 12.16 36.48
Sept 7, 2010 2:30 -4:45 12.16 27.36
TOTAL 206.42
Make all checks payable to: Amy Paulson
THANK YOU FOR YOUR BUSINESSI
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, b
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. y
Payee
Paulson, Amy Purchase Order No.
8250 Lakeshore Trail E. Drive, Apt. 313 Terms
Indianapolis, IN 46250
Invoice Invoice
Date Number Description
(or note attached invoice(s) or bili(s)) PO
9/7/10 8/26 9/7/10 Inclusion Facilitator Amount
206.42
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordan ce Otdl 206,42
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Paulson, Amy Allowed 20
8250 Lakeshore Trail E. Drive, Apt. 313
Indianapolis, IN 46250
In Sum of
206.42
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO. CCT #ITITL AMOUNT Board Members
Dept
1081 99 8126- 917110 4340800 206.42 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
206.42 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund