HomeMy WebLinkAbout198186 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LENO CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 2109 N ROSEWOOD AVE
p MUNCIE IN 47304 CHECK NUMBER: 198186
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 6/22 125.00 ADULT CONTRACTORS
Anna Leno[®
2109 N Rosewood Ave
Muncie, IN 47304
Phone 317.656.7352 DATE: JUNE 22, 2011
TO: FOR:
Carmel Clay Parks and Recreation Carmel Middle School 1 -3
Li rl_
r )J tit
MAY Y F 201j
DESCRIPTION HOURS RATE AMOUNT
DJ Services f 2 Flat Rate $125
Purchase U
Description
P.O.tI (SL�iQ
G.L.
Budget
Line Descr �t
Purchaser Date
Approval Date
o`" S
TOTAL $125.00
Make all checks payable to Anna Leno
Thank you for your business!
Carmel Clay
J Parks &Recreation CHECK REQUEST
Date: 4/13/11 ri MAY 16 2011
Check payable to
Name: Anna M. Leno
Dy
Address: 2109 N. Rosewood Ave.
City, State, Zip Muncie In, 47304
Mail check to payee x Return check to requestor
Check Amount $125
Date Required 6/22/11
Check needed for: Vendor for Carmel Vacation Station Party
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 1082 -1 Budget Line# 4- S9 O�S X
Budget Line Description Program Contractor
Requested by (print): Valeska Simmonds 1
Requested by (signature):
Approved by (signature of Division Manager):
on this date �l 1
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 Amount
6122/11 6122 DJ Vacation Station 6122111 28472 125.00
Total 125.00
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.
364270 Leno, Anna Allowed 20
2109 N. Rosewood Ave.
Muncie, IN 47304
In Sum of
125.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. kCCT #[TITLE AMOUNT Board Members
Dept
1082 -1 6122 4340800 125.00 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
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund