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191638 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 363796 Page 1 of 1 ONE CIVIC SQUARE WENDY KAY FRANKLIN CARMEL, INDIANA 46032 36 HORSESHOE LANE CHECK AMOUNT: $100.00 CARMEL IN 46033 CHECK NUMBER: 191638 CHECK DATE: 11/1012010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 100.00 OTHER PROFESSIONAL FE Carmel lay Parks &Recreation CHECK REQ UEST J� Date: November 1, 2010 D NOV C� 1 1010 Check payable to Name: Wendy Franklin CCPR BOARD MEMBER Address: 36 Horseshoe Lane City, State, Zip Carmel, IN 46033 X Mail check to payee Return check to requestor Check Amount 100.00 Date Required ASAP Check needed for Monthly pay for meetings attended 10/12/10,10/26/10 2 Meeting(s) $50.00 each $100.00 October 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): C� on this date Form revised 7 -7 -08 Shared Administrative 1 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. 363796 Franklin, Wendy Terms 36 Horseshoe Lane Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1111!10 Oct' 10 Park board meeting attendance 100,00 Total 100.00 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. 363796 Franklin, Wendy Allowed 20 36 Horseshoe Lane Carmel, IN 46033 In Sum of 100.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1125 Oct' 10 4341999 100.00 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 4 -Nov 2010 Signature 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund