HomeMy WebLinkAbout198015 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365376 Page 1 of 1
ONE CIVIC SQUARE DEBORAH ASANTE
?Q� 1 CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 P.O. BOX 22344
INDIANAPOLIS IN 46222 CHECK NUMBER: 198015
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 62211 300.00 ADULT CONTRACTORS
Carmel I Clay
Parks &Recreation CHECK REQUEST
t
Date: I I
MAY 16 ZON
Check pay to
Name: S>C,��`l Vl Y i fTr`��,� T BYa
Address: J
City, State, Zip I 6d na i s
Mail check to payee V Return check to requestor
Check Amount 00
Date Required
Check needed for an,
To be paid from
bb0 l fl
PO (if applicable) i I�
Budget account GL
Budget Line Description
Supporting documentation or receipt(s) MUST he attached.
Requested by (print) L fly pi
0.
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
in.' fir M�
Invoice
DEBORAH ASANTE Number
P.O. Box 22344
Indianapolis, IN 46222
rBilled 459
®y1 �t3 Cb.C1�1
Ordered by: to: Terms:
Net
Irvotce Service
T Amount
:Date Date Dsc�i tion_of= Sen+ice Due.
So
1 L rn% �v
Customer. We appreciate your supporti Total Amount Due
Purchase
Description
L,; m A y S 2011 P.O. _l O Cj r+
G.L. a
Bud DY Unr...
Linr: e3Cr
Purchaser Date
Approval
Date Sa I I
IL
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.
Asante, Deborah Terms
P.O. Box 22344
Indianapolis, IN 46222
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4128111 62211 Story concert Clayy Middle school 6122/11 28482 300.00
Total 300-00
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.
Asante, Deborah Allowed 20
P.O. Box 22.344
Indianapolis, IN 46222
In Sum of
300.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. kCCT #/TITLE AMOUNT Board Members
Dept
1082 -1 62211 4340800 300.00 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
2 -Jun 2011
Signature
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund