163374 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: T361799 Page 1 of 1
0 ONE CIVIC SQUARE MARK RICE
CARMEL, INDIANA 46032 1260 ire B CHESTNUT Sr
NOBLESVILLE IN 46060 CHECK AMOUNT: $105.00
CHECK NUMBER: 163374
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INV NU MBER AMOUNT DES
4340800 CK REQUEST 105.00 ADULT CONTRACTORS
Carm lay
Parks &Recreation CHECK REQUEST
Date: G 0
Check payable to
Name: M A R K 'R I C-
Address: 1 2(00 Y2- T CH EST I-1 T ST.
City, State, Zip ND BLESV i L 1 N 4
Mail check to payee Return check to requestor
Check Amount f O R OCR Date Required 9 c� 00
Check needed for SUMMer Ee,'391DES C� TMW l X10► Q '1Z
FOR WOE k OM-\) wC8
To be paid from
PO (if applicable) 1 C) a3B
Budget account GL X41 Z4 -ogac)
Budget Line Description Aa u COn racivr
Invoice(s) and Purchase Order (if required MUST be attached.
Requested by (print): .r
Requested by
Approved by (signature of Division Manager):
on this date
Form revised 7 -7 -08 Shared Forms Business Service Forms Check Request
INVOICE
BI-LUNG FOR CONTRACT
Independent contract for Carmel Clay Parks Recreation FY: IVED Art Instruction: Drawing Frenzy 6 2008
Carmel Clay Parks Recreation
1235 Central Park Drive East
Carmel Indiana 46032
Billing Rate of 515.00 per hour X 7 hours total time, including 4 hours of actual instruction time and 3
hours of preparation time.
Total Amount Due: $105.00
Pay to the order of: Mark Rice
Artist, Designer, and Creative Consultant
1260 '/2B Chestnut St.
Noblesville, IN 46060
Thanks Sincerely,
Mark D. Rice
Mobile 317 874 -6372
e -mail: inark.riceroni cr,gmail.com
ACCOUNTS PAYABLE VOUCHER
a 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. 1 q 2239 F
Rice, Mark Terms
1260 1/2 B Chestnut St
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/08 Art instruction 105.00
Total 105.00
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.
Rice, Mark Allowed 20
1260 1/2 B Chestnut St
Noblesville, IN 46060,
In Sum of
105.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 4340800 105.00 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
18 -Aug 2008
Signature
Is 105.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund