HomeMy WebLinkAbout200419 08/17/2011 a CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
1). CARMEL, INDIANA 46032 13851 RIVERWOOD WAY CHECK AMOUNT: $75.00
CARMEL IN 46032 CHECK NUMBER: 200419
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CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JUL'll 75.00 OTHER PROFESSIONAL FE
Ca r Mel a ay
Pa rks &Recreation CHECK REQUEST
Nt (a 9M Date: August 3, 2011 A
UG 0 3 1011
Check payable to
Name: James Enciledow CCPR BOARD MEMBER
Address: 13851 Riverwood Way
City, State, Zip Carme! IN 46032
X Mail check to payee Return check to requestor
Check Amount 75.00 Date Required ASAP
Check needed for Monthly a for meetings attended 7126111
1 Meeting(s) each 75.00 July 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
I
Requested by (signature):
Approved by (signature of Div' ion Manager):
on this date E6
Form revised 7 -7 -08 Shared 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.
354363 Engledow, James Terms
13851 Riverwood Way
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
813111 JuP11 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO, ACCT #/TITL AMOUNT Board Members
Dept
1125 JUM 1 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
9 -Aug 2011
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund