193744 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 363796 Page 1 of 1
ONE CIVIC SQUARE WENDY KAY FRANKLIN CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 36 HORSESHOE LANE
CARMEL IN 46033 CHECK NUMBER: 193744
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 DEC10 100.00 OTHER PROFESSIONAL FE
Carmel a Clay
Parks CHECK REQUEST
Date: December 30, 2010 kk i
f
L OEC 3 0 2010
Check payable to I `J.........
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 12/14/10,12/21110
2 Meeting(s) (d_) $50.00 each 100.00 December 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): on this date D o
Form revised 7 -7 -08 Shared 1 Administrative 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
12/30/10 Dec'10 Park board meeting attendance 100.00
Total 100.00
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.
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 #rTITLE AMOUNT Board Members
Dept
1125 Dec'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
13 -Jan 2011
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund