190872 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 355613 Page 1 of 1
ONE CIVIC SQUARE JOE MILLER CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 13607 THISTLEWOOD DRIVE E
CARMEL IN 46032 CHECK NUMBER: 190872
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 SEP '10 200.00 OTHER PROFESSIONAL FE
Carmel 9 Cy
Parks &Recreation CHECK REQUEST
Date: October 4, 2010 O CT 4 2010 s
Check payable to BY: ••••1 0 :�1
Name: Joe Miller CCPR BOARD MEMBER
Address: 13607 Thistlewood Dr. E.
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount $200.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 9/14110 9116110 9118110 9/28/10
4 Meeting(s) (a)- $50.00 each 200.00 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
r
Requested by (signature): �'!1'Yl�'Ylilf�J7l
Approved by (signature of Division Manager),
on this date
Form revised 7 -7 -08 Shared 1 Administrative I Forms Staff forms I 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.
355613 Miller, Joe Terms
13607 Thistlewood Dr. E
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/4/10 Se '10 Park Board meeting attendance 200.00
Total 200.00
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.
355613 Miller, Joe Allowed 20
13607 Thistlewood Dr. E
Carmel, IN 46032
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Sep'10 4341999 200.00 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
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund