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