HomeMy WebLinkAbout193531 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 354039 Page 1 of 1
Q ONE CIVIC SQUARE EMILY THOMPSON
i zo CARMEL, INDIANA 46032 3954 MADELINE LANE
CHECK AMOUNT: $250.00
CARMEL IN 46033 CHECK NUMBER: 193531
CHECK DATE: 1/5/2011
DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AM DESCRIPTION
1081 4340800 12/6/10 250.00 ADULT CONTRACTORS
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: I 1 U
DEC 0 9 2010 U
Check payable to
Name: err l i\ (1 fi
Address: a S
City, state, zip rnwr LI 6 a
Mail check to payee Return check to requestor
Check Amount 2 �d Date Re uired:
Check needed for
To be paid from
PO (if applicable) EOUZ�kZ53
Budget account GL
Budget Line Description �C U C�/w� W G ��G
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): V
Requested by (signature): Myn�-
Z,
Approved by (signature of Division Manager): i
on this date O
Form revised 1 -21 -08
Emil Ann Thompson D e s cription o�
Emily m son p Description vc,
3954 Madeline Lane P.O. 1� 1 p F
Carmel, IN 46033 G.L.
Phone: 317-514-0121 Budget
Email: emilyannthompson @mac.com Line D
Website: www.emilyannthompson.com Purchaser
Approval Date jaT�
Bill To: Invoice Date 12/06/10
Prairie Trace Elementary Customer ID PTE
14200 N. River Road
Carmel, IN 46033 Invoice 011411
Amount $250
Description:
Fee for solo Violin performance o 01/14/11 Tom 5:OOp 7:OOp.
Payment of $250 due on the day of the performance.
Please make check payable to: Emily Ann Thompson. r
D EC 0 9 2 x1 0 IJ
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.
Thompson, Emily Ann Terms
3954 Madeline Lane
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1216110 1216110 Performance 1114111 28019 250.00
Total 250.00
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.
Thompson, Emily Ann Allowed 20
3954 Madeline Lane
Carmel, IN 46033
In Sum of
250.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. A.CCT #frITLE AMOUNT Board Members
Dept
1081 -7 1216110 4340800 250.00 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
30 -Dec 2011
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund