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HomeMy WebLinkAbout163374 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