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HomeMy WebLinkAbout193822 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1 ONE CIVIC SQUARE JOAN KETTERMAN CHECK AMOUNT: $150.00 CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE CARMEL !N 46033 CHECK NUMBER: 1938 22 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 150.00 OTHER PROFESSIONAL FE Carmel Clay 'arks &Recreation CHECK REQUEST Date: December 30, 2010 DEC 3 0 2010 Check payable to �J' �...q........ Name: Joan Ketterman CCPR BOARD MEMBER Address: 3413 Eden Hollow Place City, State, Zip Carmel IN 46033 X Mail check to payee Return check to requester Check Amount 150.00 Date Required ASAP Check needed for Monthly a for meetings attended 12/14/10 12/21/10 3 Meetings (d.) $50.00 each 150,00 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): (/'��!a✓�G4/l. Approved by (signature of Division Manager): on this date ids o O Form revised 7 -7 -08 Shared I Administrative Forms Staff forms I 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. 354367 Ketterman, Joan Terms 3413 Eden Hollow Place Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12130/10 Dec'10 Park Board meeting attendance 150.00 Total 150.00 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. 3543167 Ketterman, Joan Allowed 20 3413 Eden Hollow Place Carmel, IN 48033 In Sum of 150.00 i ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO, ACCT #FFITLE AMOUNT Board Members Dept 1125 Dec'10 4341999 150.00 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 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund