161474 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 361401 Page 1 of 1
ONE CIVIC SQUARE MEANINGFUL DAY SERVICES, INC
CHECK AMOUNT: $110.00
CARMEL, INDIANA 46032 PO Box 1110
ii BROWNSBURG IN 46112
CHECK NUMBER: 161474
CHECK DATE: 7/1112008
DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBE AMOUNT DESCRIPTION
1046 4341985 204 110.00 GUEST SPEAKERS
Carmel c Clay
Parks &Recreation CHECK REQUEST
Date:
Check payable r 1
Name: \ec���h�CU� �o..,� �e���C_QS, nc_
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Address: 9 0 QGX
City, State, Zip `J f S�'j (t� 1 �2
Mail check to payee Return check to requestor
Check Amount Date Required J v S
Check needed for �e C� �C C e� 4
To be paid from
PO (if applicable)
Budget account GL L. 3 L`
Budget Line Description
V
QED
Supporting documentation or receipt(s) MUST be attached. ,JUN 0 9 2008
1 BY:
Requested by (print): CM�
Requested by (signature):
Approved by (signature of Division Manager):
on this date I
Form revised 1 -21 -08
I't
Meaningful Day Services, Inc. ENVOI
PO Box 1110, Brownsburg, IN 46112
(317) 858 -8630 FAX: (317) 858 -8715
Officesupport na,meaninllfuldays.com
INVOICE #204
DATE: JUNE 4, 2008
TO: FOR:
Jennifer Hammons Music Therapy
Carmel Clay Parks and Recreation
DESCRIPTION SESSIONS RATE AMOUNT
Music Therapy
Tuesdays 1:00 -2:00 July 8, July 15 2 55.00 110.00
JVEI
JUN 0 9 2008
BY:
TOTAL $110.00
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.
Meaningful Day Services, Inc.
P.O. Box 1110 Date Due
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/08 204 Music Therapy July 8, 15 2008 110.00
Total 110.00
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
I
7- 7- vg
Voucher No. Warrant No.
V i 3 CP 4N Allowed 20
Meaningful Day Services, Inc.
P.O. Box 1110
Brownsburg, IN 46112 In Sum of
110.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 204 4341985 110.00 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
11 -Jun 2008
Signature
110.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund