197273 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 364485 Page 1 of 1
ONE CIVIC SQUARE PAMELA S KNOWLES CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 1519 COOL CREEK DRIVE
CARMEL IN 46033 CHECK NUMBER: 197273
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INV NU MBER AMOUNT DESCRIPTION
1125 4341999 APR'll 75.00 OTHER PROFESSIONAL, FE
Carm Clay
Parks Recreat ion CHECK REQUEST
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Date: 5/2/2011 a
co, ��Y 0 2 2011
Check payable to BY�M 1..a.
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 75.00 Date Required ASAP
Check needed for: Monthly pay for meetings attended 4126111
1 Meeting(s) (al $75.00 each 75.00 April 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 Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date k /f
Form revised 7 -7 -08 Shared 1 Administrative 1 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 bifi(s)) PO Amount
5/2/11 Apr'11 Park Board meeting attendance 75.00
Total 75.00
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.
364485 Knowles, Pamela S. Allowed 20
1519 Cool Creels Drive
Carmel, IN 46033
In Sum of
75.00
ON ACCOUNT OF APPROPRfATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1125 A r'11 4341999 75.00 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
4 -May 2011
lql�fi g'& 0
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund