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HomeMy WebLinkAbout198606 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 363779 Page 1 of 1 ONE CIVIC SQUARE JOSHUA ALBERT KIRSH CARMEL, INDIANA 46032 220 2ND AVE NE CHECK AMOUNT: $225.00 CARMEL IA 46032 CHECK NUMBER: 198606 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 MAY Ill 225.00 OTHER PROFESSIONAL FE Ca rmel lay Parks &Recreation CHECK REQUEST Date: 6/3/2011 Check payable to Name: Joshua Kirsh CCPR BOARD MEMBER Address: 2202 nd Ave. NE City, State, Zip Carmel, IN 46032 X Mail check to payee Return check to requestor Check Amount 225.00 Date Required ASAP Check needed for Monthly pay for meetings attended 5/10/11,5/18/11,5 /24/11 3 Meeting(s) (d) 75.00 each $225.00 May 2011 To be paid from PO (if applicable) N/A Budget account GL 1125 -1 -01- 4341999 Budget Line Description Other Professional Fees Invoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): Paula Schlemmer Requested by (signature): Approved by (signature of Division Manager): on this date '6 Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08) 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. 363779 Kirsh, Joshua Terms 220 2nd Ave., NE Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6/3/11 Ma '11 Park Board meeting attendance 225.00 Total 225.00 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 2 U0 O co Z 0 0 \A f ƒ 0 2 a ƒ a n E Z 0 CO M j 3 0 CL k ƒ k 3 CD 7 D ƒ 2 ƒ E CD 2 g g CD e 3 3 ƒ 7 0) W j_ Zr CD w e co a m f J E J m f 0 a D J 7 d