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HomeMy WebLinkAbout195408 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1 ONE CIVIC SQUARE JAMES L ENGLEDOW CARMEL, INDIANA 46032 13851 RIVERWOOD WAY CHECK AMOUNT: $150.00 CARMEL IN 46032 ā€žpā€ž a CHECK NUMBER: 195408 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 02/11 150.00 OTHER PROFESSIONAL FE Carmel 0 Clay Parks &ReCreatidn CHECK REQUEST Date: March 1, 2011 a q r F MAR Q 2011 Check payable to BY. Name: James Ergledow CCPR BOARD MEMBER Address: 13851 Riverwood Way City, State, Zip Carmel IN 46032 X Mail check to payee Return check to requestor Check Amount 150.00 Date Required: ASAP Check needed for Monthly pay for meetings attended 2/8/11,2122/11 2 Meeting(s) Cad $75.00 each 150.00 Feb 2011 To be paid from PO (if applicable) N/A Budget account GL 1125 -1 -01- 4341999 Budget Line Description Other Professional Fees Invoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): Paula Schlem m er Requested by (signature): Approved by (signature of Division Manager): on this date Form revised 7 -7 -08 Shared 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. Terms 354363 Engledow, James 13851 Riverwood Way Carmel, IN 46032 Invoice Invoice Description Amount or note attached invoice(s) or bill(s)) PO Date Number 150.00 311111 Feb'11 Park Board meeting attendance 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. 354363 Engledow, James Allowed 20 13851 Riverwood Way Carmel, IN 46032 In Sum of 150.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Feb'11 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 10 -Mar 2011 Signature 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund