166352 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 362099 Page 1 of 1
ONE CIVIC SQUARE KIM PREUSCH
0 j CHECK AMOUNT: $1,000.00
CARMEL, INDIANA 46032 1530 DEERFIELD DRIVE
PLAINFIELD IN 46168 CHECK NUMBER: 166352
CHECK DATE: 11124/2008
DEPARTMENT ACCOUNT PO NUM INVOICE NUM AMOUNT DESCRIPTION
1047 4340800 1,000.00 ADULT CONTRACTORS
,-Q.4
Kim Preusch
1530 Deerfield Drive INVO
Plainfield, IN 46168
847.208.8978
DATE: NOVEMBER 7, 2008
TO: FOR:
THE MONON CENTER Internship
Carmel Clay Parks and Recreation Independent Contractor Service Agreement
1235 Central Park Drive East j
Carmel, Indiana 46032 00V y R 7
Phone 317.573.5238 Fax 317.573.5254
DESCRIPTION RATE AMOUNT
Internship (Fall 2008)
October Billing $500 $500
Purchase ,n
Description IY\k(ysY)l j
P __IG at a or F
G.L. q 3D0. 3CV �l34 ad0o
Budget
Line Descr 'G j m !1/") I
Purchaser Date
Approval T� Date, 015
Total $500.00
I understand that this contract may be verbally terminated for any reason at any time.
I also understand that I am deemed as an independent contractor and am not considered an employee of CCPR.
In any case of discrepancy or if I have any questions, I will notify the Recreation Manager, Tess Pinter.
Kim Preusch
Deerfield Drive INVOICE
1530 De
erfi
Plainfield, IN 46168
847.208.8978
DATE: NOVEMBER 7, 2008
TO: FOR:
THE MONON CENTER Internship
Carmel Clay Parks and Recreation Independent Contractor Service Agreement
1235 Central Park Drive East
Carmel, Indiana 46032 NT D
Phone 317.573.5238 Fax 317.573.5254 NOV 1 2 ?008 I
I I
AJ A
DESCRIPTION RATE AMOl'J ---111
Internship (Fall 2008)
November Billing $500 $500
Purchase
Description �nxrl�hi D
P.O.# Ig ai r F
G.L. q2 3 v 30, q3 o
Budget
Line bescr pYL�'t'GM n �7drfOr
Ll
Purchaser Date
Approval Date�j OLU$
Total $500.00
I understand that this contract may be verbally terminated for any reason at any time.
I also understand that I am deemed as an independent contractor and am not considered an employee of CCPR.
In any case of discrepancy or if I have any questions, I will notify the Recreation Manager, Tess Pinter.
ACCOUNTS PAYABLE VOUCHER
d 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. 19217 P
Preusch, Kim Terms
1530 Deerfield Drive
Plainfield, IN 46168
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/7108 Oct'08 Internship Oct'08 500.00
11/7/08 Nov'08 Internship Nov'08 500.00
Total 1,000.00
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
Voucher No. Warrant No.
Preusch, Kim Allowed 20
1530 Deerfield Drive
Plainfield, IN 46168
In Sum of
1,000.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
1047 Oct'08 4340800 500.00 1 hereby certify that the attached invoice(s), or
1047 Nov'08 4340800 500.00 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
17 -Nov 2008
4, L�L
Signature
1,000.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund