HomeMy WebLinkAbout196441 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LEND
CARMEL, INDIANA 46032 2109 N ROSEWOOD AVE CHECK AMOUNT: $125.00
MUNCIE IN 47304
CHECK NUMBER: 196441
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 3/18 TM 125.00 ADULT CONTRACTORS
Anna Leno INV OICE
301
2109 N Rosewood Ave
Muncie, IN 47304
Phone 317.656.7352 DATE: APRIL 29, 2011
TO: FOR:
Carmel Clay Parks and Recreation West Clay
5 -7pm
DESCRIPTION HOURS RATE AMOUNT
DI Services 2 Flat Rate $125
Purchase
Description' 0'1
P.O. C U D. l� P a
G.L. l b
une Descr
Purchaser
Approval
TOTAL $125.00
APR a 4 2011
BY
Make all checks payable to Anna Leno
Thank you for your business!
Carmel eClay
Parks &Recreation CHECK REQUEST
Date: I 1 D
APR a 4 1011
Check payable to
Name: Aonc' L----fAo BY:
Address: a 0 i V i ZoS e v A41
City, State, Zip M Q'n0 9 U L-n s o q
Mail check to payee V Return check to requestor
Check Amount Date Reauired C�Q i Qo� f
Check needed for
To be paid from
PO (if applicable) E 0C)Q 14( LI
Budget account GL# �t ��o��� C l(�� �C)
Budget Line Description 4'r
Invoice(s) and Purchase Order (if required MUST be attached.
Requested by (print):`(Z
cl�
Requested by (signature):
Approved by (signature of Division Manager):
on this date 3�1
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
364270 Leno, Anna Terms
2109 N. Rosewood Ave.
Muncie, IN 47304
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4129111 301 DJ Services we 4129/11 125.00
Total 125.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20„
Clerk- Treasurer
Voucher No. Warrant No.
364270 Leno, Anna Allowed 20
2109 N. Rosewood Ave.
Muncie, IN 47304
In Sum of$
125.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 -10 301 4340800 125.00 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
7 -Apr 2011
h lu-n mph
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund