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195519 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 364485 Page 1 of 1 ONE CIVIC SQUARE PAMELA S KNOWLES CHECK AMOUNT: $150.00 CARMEL, INDIANA 46032 1519 COOL CREEK DRIVE v CARMEL IN 46033 CHECK NUMBER: 195519 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION 1125 4341999 150.00 OTHER PROFESSIONAL FE Carmel o Clay Parks &Recreation CHECK REQUEST Date: March 1 2011 Check payable to: Name: Pamela S. Knowles CCPR BOARD MEMBER Address, 1519 Cool Creek Drive City, State, Zip Carmel IN 46033 X Mail check to payee Return check to requestor Check Amount 150.00 Date Required ASAP Check needed for: Monthly ay for meetings attended 2/8/11.2/22/11 2 Meetings) $75.00 each 150.00 Feb 2011 To be paid from PO (if applicable) NIA 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 Schlemmer Requested by (signature): Approved by (signature of Division Manager): on this date l Form revised 7 -7 -08 Shared Administrative I Forms i 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. 364485 Knowles, Pamela S. Terms 1519 Cool Creek Drive Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 311111 Feb'11 Park Board meeting attendance 150.00 Total 150.00 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 ,2o Clerk-Treasurer Voucher No. Warrant No. 364485 Knowles, Pamela S. Allowed 20 1519 Cool Creek Drive Carmel, IN 46033 In Sum of 150.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. CCT #/TITL AMOUNT Board Members Dept ept 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