190833 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 364485 Page 1 of 1
ONE CIVIC SQUARE PAMELA S KNOWLES CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 1519 COOL CREEK DRIVE
CARMEL IN 46033 CHECK NUMBER: 190833
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 SEP '10 150.00 OTHER PROFESSIONAL FE
Carmel achy
Parks &Recreation CHECK REQUEST
Date: October 4 2010 I9
O CT 0 4 2010
Check payable to
Name: Pamela S. Knowles CCPR BOARD MEMBER
Address: 1519 Cool Creek Drive
City, State, Zip Carmel IN 46033
X Mail check to payee Return check to requester
Check Amount $150.00 Date Required ASAP
Check needed for Monthly a for meetings attended 9/14/10,9/18/10,9/28/10
3 Meeting(s) C, $50.00 each 150.00 September 2010
To be paid from
PO (if applicable) N/A
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) �V%y�✓l�
Approved b nature of Division Manager):
pp Y (signature
on this date IV lq�l tl
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.
364485 Knowles, Pamela S. Terms
1519 Cool Creek Drive
Carmel, IN 46033
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
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.
364485 Knowles, Pamela S. Allowed 20
1519 Cool Creek Drive
Carmel, IN 46033
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #FFITLE 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
i