Loading...
HomeMy WebLinkAbout201236 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 362449 Page 1 of 1 ONE CIVIC SQUARE JUDITH HAGAN CARMEL, INDIANA 46032 10946 SPRING MILL LANE CHECK AMOUNT: $75.00 o CARMEL IN 46032 CHECK NUMBER: 201236 CHECK DATE: 9/1312011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 AUG '11 75.00 OTHER PROFESSIONAL FE Carmel Clay Parks &Recreation CHECK REQUEST 14 Q 2 2011 Date: September 2 2011 SEP u e ...9..:1.x........... Check payable to Name: Judith Ha an CCPR BOARD MEMBER Address: 10946 Spring Mill Lane City, State, Zip Carmel 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 8/9/11 1 M eeting(s) W $75.00 each 75.00 A ugust 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): ii Approved by (signature of Division Manager): on this date 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. 362449 Hagan, Judith Terms 10946 Spring Mill Lane Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 912111 Au '11 Park Board meeting attendance 75.00 Total 75.00 1 hereby certify that the attached invoice(s), or bills) 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. 362449 Hagan, Judith Allowed 20 10946 Spring Mill Lane Carmel, IN 46032 In Sum of 75.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1125 Au '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 8 -Sep 2011 Signature 7550 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund