HomeMy WebLinkAbout192717 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: T362065 Page 1 of 1
0 ONE CIVIC SQUARE RICHARD TAYLOR
CARMEL, INDIANA 46032 3220 E 104TH STREET CHECK AMOUNT: $100.00
i ro' i
CARMEL IN 46033 CHECK NUMBER: 192717
CHECK DATE: 12110/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 100.00 OTHER PROFESSIONAL FE
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: December 1, 2010
Check payable to
Name: Richard F Taylor III CCPR BOARD MEMBER
Address: 3220 East 104 Street
City, State, Zip Carmel IN 46033
X Maid check to payee Return check to requester
Check Amount 100.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 11/4/10,11/9/10
2 Meeting(s) (7a $50.00 each $100.00 November 20
To be paid from
PO (if applicable) NIA
Budget account GL 101 -1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager)
on this date
Form revised 7 -7 -08 Shared 1 Administrative Forms Staff forms I Check Request (rev 7- O8)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
T362065 Taylor, Richard F. III Terms
3220 East 104th Street
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1211110 Nov'10 Park Board meeting attendance 100.00
Total 100.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
T362065 Taylor, Richard F. III Allowed 20
3220 East 104th Street
Carmel, IN 46033
In Sum of$
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #rFITLE AMOUNT Board Members
Dept
1125 Nov'10 4341999 100.00 I 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
9 -Dec 2010
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund