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