190827 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1
0 ONE CIVIC SQUARE JOAN KETTERMAN CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE
CARMEL IN 46033 CHECK NUMBER: 190827
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 SEP '10 150.00 OTHER PROFESSIONAL FE
Carmel Clay
Pa rks &Recreation CHECK REQUEST
Date: October 4, 2010
OCT 0 4 2010
Check payable to BY: ••.•!.D .I �1�.....
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 150.00 Date Required ASAP
Check needed for Month! y pa for meeting attended 9/14110,9/18/10,9128/10
3 Meetings {cry $50. each $150.00 September 2010
To be paid from
PO (if applicable) NIA
Budget account GL 101-1125-4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
6
on this date
Form revised 7 -7 -08 Shared Administrative Forms I Staff forms Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must h hour, of of ice, units, price performed, dtes service rendered, by
whom rate rates per day, number of hours, per
Payee Purchase Order No.
Terms
354367 Ketterman, Joan
3413 Eden Hollow Place
Carmel, IN 46033
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
150.00
1014110 Sep'10 Park Board meeting attendance
Total 150.00
Y hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
354367 Ketterman, Joan Allowed 20
3413 Eden Hollow Place
Carmel, IN 46033
In Sum of$
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Sep' 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
7 -Oct 2010
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund