HomeMy WebLinkAbout199599 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 363112 Page 1 of 1
s ONE CIVIC SQUARE TANYA MUCHNIK CHECK AMOUNT: $275.00
CARMEL, INDIANA 46032 10761 CORNERSTONE COURT
INDIANAPOLIS IN 46280 CHECK NUMBER: 199599
CHECK DATE: 7120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 7/29 275.00 ADULT CONTRACTORS
Carmel c Clay
Parks &Recreation CHECK REQUEST
Date: 5/27111
Check payable to
Name: Tanya Muchnik
Address: 10761 Cornerstone Court
City, State, Zip Indianapolis, IN 46280
Mail check to payee x Return check to requestor
Check Amount 275.00
Date Required July 27 2011
Check needed for: Carnival at Carmel Vacation Station
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 1082 -4 Budget Line 4340800 U C)
Budget Line Description Program Contractor d
Utz 3 o 1011
Requested by (print): Valeska Simmonds
Requested by (signature):
Approved by (signature of Division Manager): l�
on this date
r1nd anya Nluchnik INVOKE
1 Cornerstone Court
IN, 46280 LMAY E #1 815 -1161 2011
�T FOR:
Carmel Clay Parks and Recreation Carmel Vacation Station
ATTN: Ben Johnson July 29 12 -2:00
1411 E 116 St,
Carmel IN, 46033
(317) 573 -5240
DESCRIPTION HOURS DATE AMOUNT
Face painting at Carmel Vacation Station 2 7/27/11 $275.00
Purchase
escriptlon
0. U L) 0 1 P o
t u Proval
dg et o D rch"� D Date
TOTAL $275.00
Make all checks payable to Tanya Muchnik
1;
Total due in 15 days. Overdue accounts subject to a service charge of 1% per month.
Name: Date: itiIV 3 0 201,
Thank you for your business!
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.
363112 Muchnik, Tanya Terms
10761 Cornerstone Court
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5127111 7129 Face painting Carmel VS 28670 275.00
Total 275.00
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.
363112 Muchnik, Tanya Allowed 20
10761 Cornerstone Court
Indianapolis, IN 46280
In Sum of
275.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1082 -1 7129 4340800 275.00 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
12 -Jul 2011
Signature
275.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund