199700 07/20/2011 a CITY OF CARMEL, INDIANA VENDOR: T362065 Page 1 of 1
ONE CIVIC SQUARE RICHARD TAYLOR CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 3220 E 104TH STREET
CARMEL IN 46033 CHECK NUMBER: 199700
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JUNE11 75.00 OTHER PROFESSIONAL FE
Carmel e Clay
'arks &Recreation CHECK REQUEST
Date:
Check payable to BY: J U L 2
Name: Richard F. Taylor III CCPR BOARD MEMBER
Address: 3220 East 104 Street
City, State, Zip Carmel, IN 46033
X Mail check to payee Return check.to requestor
Check Amount 75.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 6114111
1 Meeting(s) C) $75.00 each 75.00 June 2011
To be paid from
PO (if applicable) NIA
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 9 t I
Form revised 7 -7 -08 Shared I 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.
T362065 Taylor, Richard F. III Terms
3220 East 104th Street
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
711111 Jun'11 Park Board meeting attendance 75.00
Total 75.00
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.
T362065 Taylor, Richard F. III Allowed 20
3220 East 104th Street
Carmel, IN 46033
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Jun'11 4341999 75.00 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
l�✓S �24�/ml�2�7
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund