HomeMy WebLinkAbout196864 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LEND CHECK AMOUNT: $150.D0
CARMEL, INDIANA 46032 2109 N ROSEWOOD AVE
•s, ray �o MUNCIE IN 47304 CHECK NUMBER: 196864
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPT
1081 4340800 150.00 ADULT CONTRACTORS
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: V—
Check payable to
Name: A c n (p c�o
Address: 21 O- N Rc)se wo D�� f V�
City, State, Zip Mt n C 1L N_
Mail check to payee Return check to requestor
Check Amount `J Date Required _3 A
Check needed for
To be paid from
PO (if applicable)
Budget account GL 40
Budget Line Description r `1(� F
Supporting documentation or receipt(s) MUST be attached.
APR Q47011
Requested by (print):
Requested by (signature): By°
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
Anna Leno INVOICE
2109 N Rosewood Ave
Muncie, IN 47304
Phone 317.656.7352 DATE: MAY 13, 2011
TO: FOR:
Carmel Clay Parks and Recreation Carmel Elementary School
5 -7pm
DESCRIPTION HOURS RATE AMOUNT
DJ Services 2 75,00 $150.00
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1
Purchase ���t��
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Bu e
Budget
Line escx
Purchaser Date 0 3. I
Approval
TOTAL $150.00
APR 0 4 2011
Make all checks payable to Anna Leno
BY........................
Thank you for your business!
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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
5113/11 5113 CE DJ Services CE 5/13111 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
20_
Clerk- Treasurer
Voucher No. Warrant No.
364270 Leno, Anna Allowed 20
2109 N. Rosewood Ave.
Muncie, IN 47304
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -1 5/13 CE 4340800 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
21 -Apr 2011
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund