HomeMy WebLinkAbout197714 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LEND
CARMEL, INDIANA 46032 2109 N ROSEWOOD AVE CHECK AMOUNT: $175.00
MUNCIE IN 47304 CHECK NUMBER: 197714
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 5/24 175.00 ADULT CONTRACTORS
Anna Leno
INVOICE
17 Concord Ct.
Carmel, IN. 46032
Phone 317.656.7352 DATE: MAY 9, 2011
T O: FOR:
Natalie Love DI Service on the Date of Tues, May 24, 2011
Carmel Clay Parks and Recreation 3- 5:30pm
1235 Central Park Drive
Carmel, IN 46032
DESCRIPTION HOURS RATE AMOUNT
DI and P.A. Rental 2.5 Flat rate 175.00
r
A. Y to 2011
Dy
Purchase
Description
PA. P
G.L.#
Bu
LJf35: Uescr
Purchaser Da
Approval Date
TOTAL $175.00
Make all checks payable to Anna Leno
Total due in 30 days. Overdue accounts subject to a service charge of 1% per month.
Thank you for your business!
Carmel G Clay
Parks CHECK REQUEST
Date:
Check payable to
Narne: P r w a On BY.
Address: LI a)o m l i C
City, State, Zip f �j
Mail check to payee Return check to requestor
T �--y, (p a.�7 -r
Check Amount 1 l 5° m Date Required I
Check needed for
To be paid from
PO (if applicable) 00 r
Budget account GL r I U c0
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
Requested by (print):
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -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 #f Amount
519111 5124 DJ OP 5127111 28516 175.00
Total 175.00
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
175.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1081 -6 5124 4340800 175.00 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
Y Xs< L�4"-
Signature
175.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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