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HomeMy WebLinkAbout190831 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 363779 Page 1 of 1 ONE CIVIC SQUARE JOSHUA ALBERT KIRSH CHECK AMOUNT: $150.00 CARMEL, INDIANA 46032 220 2ND AVE NE CARMEL IA 46032 CHECK NUMBER: 190831 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 SEP '10 150.00 OTHER PROFESSIONAL FE Carmel 0 Clay Parks& Recreation CHECK REQUEST Date: October 4, 2010 OF 0 4 2010 Check payable to JD-) A Name: Joshua Kirsh CCPR BOARD MEMBER Address: 2202 nd Ave. NE City, State, Zip Carmel IN 46032 X Mail check to payee Return check to requestor Check Amount 150.00 Date Required ASAP Check needed for Monthly pay for meetings attended 9/14/10,9116110,9/28/10 3 Meeting(s) 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). �'�/yI�C�J Approved by (signature of Division Manager): on this date /y 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 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. 363779 Kirsh, Joshua Terms 220 2nd Ave., NE Carmel, IN 40032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1014110 Sep'10 Park Board meeting attendance 150.00 Total 150.00 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 No. Warrant No. 363779 Kirsh, Joshua Allowed 20 220 2nd Ave., NE Carmel, IN 46032 In Sum of 150.00 ON ACCOUNT OF APPROPRIATION FOR 101 Genera! Fund PO# or INVOICE NO. ACCT #f 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