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HomeMy WebLinkAbout200507 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 363779 Page 1 of 1 ONE CIVIC SQUARE JOSHUA ALBERT KIRSH CHECK AMOUNT: $75.00 CARMEL, INDIANA 46032 220 2ND AVE NE CARMEL IA 46032 CHECK NUMBER: 200507 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 JUL'll 75.00 OTHER PROFESSIONAL FE Carmel e Clay Parks &Recreation CHECK REQUEST Date: August 3, 2011 AUG 0 3 2011 Check payable to Name: Joshua Kirsh CCPR BOARD MEMBER Address: 220 2 Ave. NE City, State, Zip Carmel IN 46032 X Mail check to payee Return check to requestor Check Amount 75.00 Date Re uired: ASAP Check needed for Monthly a for meetings attended 7112/11 1 Meeting s 75.00 each 75.00 July 2011 To be paid from PO (if applicable) N/A 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): A on this date i 3 Form revised 7 -7 -08 Shared Administrative 1 Forms I Staff forms I 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. 363779 Kirsh, Joshua Terms 220 2nd Ave., NE Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 8/3111 Jul' 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. 363779 Kirsh, Joshua Allowed 20 220 2nd Ave., NE Carmel, IN 46032 In Sum of 75.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. 4,CCT #rrITLE AMOUNT Board Members Dept 1125 JUP11 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