Loading...
HomeMy WebLinkAbout197717 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1 ONE CIVIC SQUARE ANNA LEND CHECK AMOUNT: $125.00 CARMEL., INDIANA 46032 2109 N ROSEWOOD AVE MUNCIE IN 47304 CHECK NUMBER: 197717 CHECK DATE: 5/2612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4340800 6/1/11 125.00 ADULT CONTRACTORS Carmel Clay Parks &Recreat CHECK REQUEST Date: 4113111 Check payable to MAY 1 6 2011 J Name: Anna M. Leno BY: Address: 2109 N. Rosewood Ave. City, State, Zip Muncie In, 47304 _X Mail check to payee Return check to requestor Check Amount $125 Date Required 5/27/11 Check needed for: Vendor for Party at FDE Supporting documentation or receipt(s) MUST be attached. To be paid from Fund 10814 Budget Line 4340800 Budget Line Description Program Contractor Requested by (print): Valeska Simmonds Requested by (signature): Approved by (signature o Division Manager): on this date ��I-I s 1 Anna Lenm 2109 N Rosewood Ave Muncie, IN 47304 Phone 317.656.7352 DATE: MAY 27, 2011 TO: FOR: Carmel Clay Parks and Recreation Forest Dale DESCRIPTION HOURS RATE AMOUNT D] Services 2 Flat Rate $125 PLathase Description P.O.# F 0DC) t P G.L. IR Budget 7� Line: ©escr o Purchaser Date �S Approv Date�� c JIM" T T2 MAY 1 6 1011 BY:.. TOTAL $125.00 Make all checks payable to Anna Leno Thank you for your business! 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 5/27/11 5/27 DJ FD 5/27/11 28469 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 i 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 1081 -4 5/27 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