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HomeMy WebLinkAbout197820 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 363625 Page 1 of 1 h ONE CIVIC SQUARE JEANNE SLAIN CHECK AMOUNT: $100.00 CARMEL, INDIANA 46032 14320 MURPHY CIRCLE WEST off CARMEL IN 46074 CHECK NUMBER: 197820 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4340800 6/8/11 100.00 ADULT CONTRACTORS Carmel e Clay Parks &Recreation CHECK REQUEST Date: 3. 11 SAY 16 2011 Check payable to BY: Name: Nz-- 7 S r1 Address: ZO M w G r C -Q City, State, Zip c.J fyn 11y Mail check to payee Return check to requestor Check Amount (_3C) d Date Required 4 1 Check needed for ae-nc� C r Vy Vr\ To be paid from PO (if applicable) L d C3 r 9 A Budget account GL 3L� d s pd Budget Line Description Q r"M COCA 'rC' AC) S Invoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): Vson Ac Ny y\ws Requested by (signature): Approved by (signature of Division Manager): on this date 1 I Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08) p.0.0 F n 'a C- 11 9- PI�J! t v y �s Bud et o� Purchaser fWprov pate J eanne ,Slain Instruction in the Art of Tencmg USFA coach/ member USFCA certify d/member 11\ l( 010E Bid to: _Nest CCay ECementary 3495 W 126th Street CarmeC Indiana 46032 .,Mtn: lennifer g-lammons CarmeCClay Barks and &creation NO. OF PRICE PER DATE DATES OF SERVICE DESCRIPTION STUDENTS STUDENT TOTAL 4/4/2011 6/8/2011 Sport Fencing Demo NIA 5ioo.0o SUBTOTAL t100. MISC PAYABLE UPON RECEIPT BALANCE DUE 1 PLEASE MAKE CHECKS PAYABLE TO Jeanne Slain 1432oMurphy Circle West THANK YOU Carmel Indiana 4 MAY 1 6 1011 BY: ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Ah 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. 363625 Slain, Jeanne Terms 14320 Murphy Circle West Carmel, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 414111 68111 Fencing Demo for Vacation Station 28318 100.00 Total 100.00 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. 363625 Slain, Jeanne Allowed 20 14320 Murphy Circle West Carmel, IN 46074 In Sum of 100.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members Dept 1082 -1 618111 4340800 100.00 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 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund