198156 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 357100 Page 1 of 1
ONE CIVIC SQUARE INDY PARKS
CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 605 S HIGH SCHOOL ROAD
INDIANAPOLIS IN 46241 CHECK NUMBER: 198156
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 2899 15.00 FIELD TRIPS
Carmel achy
ParksARec ratio n CHECK REQUEST
Date: 5 -16 -11
Check payable to
Name:
Address: W 5 S A Kk
City, State, Zip L A ULS I
Mail check to.payee X return check to requestor
Check Amount 5 00 Date Required v o,
Check needed for C ,Y����V 111. �el� �C �;D A
u Lo
To be paid from
PO (if applicable)
Budget account GL 1082 -9 4343007
Budget Line Description Field Trip
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Jennifer Holder I
Requested by (signature): N I-A c
Approved by (sign
(signature of Division Manager):
on this date 5A6-1 I
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
INVOICE N" 2899
20
w,
INDY PARKS RECREATION
BILL TO:
Purchase
Description
P.O. ME) I otr1 Po
G.L. 1 C ""l TYPE OF 1 3ILL 1 NG: �4k 'u�c
Bud 1
Lin^ Descr
Purchaser c \e a-- Date
l�l
Approval Dat a I DATE 7 DESCRIPTION AMOUNT
TOTAL CHARGE:
SIGNED;
PAYABLE TO: INDY PARKS RECREATION
ADDRESS: EAGLE CREEK PARK
7840 W. 56th STREET
INDIANAPOLIS, IN 46254
327 -7110
PLEASE RETURN Y LLONJ COPY WITH PAYMENT
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.
Indy Parks Terms
Eagle Creek Park
7840 W 56th Street
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/9/11 2899 Field trip 6/14/11 28547 15.00
Total 15.00
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.
Indy Parks Allowed 20
Eagle Creek Park
'7840 VV 56thStreet'�;
Indiariapolls IN 462'54 In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1082 -9 2899 4343007 15.00 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
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund