HomeMy WebLinkAbout197487 05/19/2011 a CITY OF CARMEL, INDIANA VENDOR: 00351591 Page 1 of 1
ONE CIVIC SQUARE FIFTH THIRD BANK
i CHECK AMOUNT: $13,700.00
CARMEL, INDIANA 46032
CHECK NUMBER: 197487
CHECK DATE: 5/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
109 5023990 13,700.00 CHANGE FUND
Car e Clay
Parks &RecreatiOn CHECK REQUEST
Date: 5- 16 -11
Q �T
Pay
Check payable to
Name: FIFTH THIRD BANK
Address: 99 E. Carmel Drive
City, State, Zip Carmel, IN 46032
Mai' 6heck to payee Return check to requestor
Check Amount 13,700.00 Date Required 5 -23 -11
Check needed for Increase in change fund for seasonal Waterpark operation at MCC
To be paid from
PO (if applicable)
Budget account GL 109- 5023990
Budget Line Description Unappropriated Funds
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Audrey Kostrzewa
Requested by (signature):
i
Approved by (signature of Division Manager):
on this date 5 -16 -11
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.
Fifth Third Bank Terms
99 E. Carmel Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5116111 Ck Request Cash change fund increase for summer season 2011 13,700.00
Total 13,700.00
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.
Fifth Third Bank Allowed 20
99 E. Carmel Drive
Carmel, IN 46032
In Sum of
13,700.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACOT #/TITLE AMOUNT Board Members
Dept
109 Ck Request 5023990 13,700.00 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
16 -May 2011
Signature
13,700.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund