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HomeMy WebLinkAbout191613 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 354361 Page 1 of 1 ONE CIVIC SQUARE SUSANNAH H DILLON i CHECK AMOUNT: $50.00 CARMEL, INDIANA 46032 507 CORNWALL CT a yob �o` CARMEL IN 46032 CHECK NUMBER: 191613 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 50.00 OTHER PROFESSIONAL FE Carmel @Clay Parks &Recreation CHECK REQUEST Date: N m.W 4r 1, '2010 NOV 0 12010 Check payable to BY: II :_-_9 Name: Susannah Dillon CCPR BOARD MEMBER Address: 507 Cornwall Court City, State, Zip Carmel, IN 46032 X iliiaii check to payee Return check to requestor Check Amount 50.00 Date Required ASAP Check needed for Monthly pay for meetings attended 10/12/10 1 Meeting(s) A $50.00 each $50.00 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): Pa ul a Schlemmer Requested by (signature): Approved by (signature of Division Manager): on this date //—/—/0 Form revised 7 -7 -08 Shared Administrative 1 Forms Staff forms 1 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. 354361 Dillon, Susannah Terms 507 Cornwall Court Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1111/10 Oct' 10 Park Board meeting attendance 50.00 Total 50.00 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. 354361 Dillon, Susannah Allowed 20 507 Cornwall Court Carmel, IN 46032 In Sum of 50.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #frITLE AMOUNT Board Members Dept 1125 Oct' 10 4341999 50.00 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 50.00 Accounts Payable Coordinator Cost distribution ledger classification if Title F claim paid motor vehicle highway fund