HomeMy WebLinkAbout197716 05/26/2011 rF
CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LEND
=+o CARMEL, INDIANA 46032 2109 N ROSEWOOD AVE CHECK AMOUNT: $125.00
MUNCIE IN 47304 CHECK NUMBER: 197716
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 5/27 125.00 ADULT CONTRACTORS
Anna Leno INVOICE
3
Oz-
2109 N Rosewood Ave
Muncie, IN 47304
Phone 317.656.7352 DATE: JUNE 1, 2011
TO: FOR:
Carmel Clay Parks and Recreation Creekside Middle School
2 -4pm
DESCRIPTION HOURS RATE AMOUNT
DJ Services 2 Flat Rate $125
purdvm
Descripttcn 0 v P
ur a
P urmchass ry ae
Appmv
TOTAL $125.00
Make all checks payable to Anna Leno
Thank you for your business!
Carmel e Clay
Parks &Recreation CHECK REQUEST
Date: �O I
Check payable to RAY 16 2011
Name: �(1Q 9:&.
Address: Z\ U�1 N OSev�X> oC�
City, State, Zip v(ICGe
Mail check to payee Return check to requestor
Check Amount I a Date Required 1 IGw IS, ZO
Check needed for
To be paid from
PO (if applicable)
Budget account GL y 3 'A O cPe
Budget Line Description x 0 -fA o(
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print):
Requested by (signature):
C� v
Approved by (signature of Division Manager):
on this date 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
6/1/11 302 DJ Creekside Middle School 6/1/11 a8` 125.00
Total 125.00
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
125.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 302 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
19 -May 2011
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund