HomeMy WebLinkAbout201291 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 363779 Page 1 of 1
4 ONE CIVIC SQUARE JOSHUA ALBERT KIRSH CHECK AMOUNT: $150.00
S% CARMEL, INDIANA 46032 2202ND AVE NE
1
`off CARMEL IA 46032 CHECK NUMBER: 201291
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 AUG '11 150.00 OTHER PROFESSIONAL FE
elememvee
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: September 2 2011 S E P 2 201 l t'
Q .......9:13.......
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 requesto►
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 8/9/11,8/23/11
2 Meeting(s) (a) $75.00 each $150.00 Au 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 Sc
Requested by (signature):
(signa of Division Manager): 64
Approved by (signa
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.
363779 Kirsh, Joshua Terms
220 2nd Ave., NE
Carmel, IN 46032
Invoice ENumber voice Description
Date (or note attached invoice(s) or bill(s)) PO Amount
9/2/11 ug'11 Park Board meeting attendance 150.00
y
Total 150.00
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
E
Voucher No. Warrant No.
363779 Kirsh, Joshua Allowed 20
220 2nd Ave., NE
Carmel, IN 46032
In Sum of
e
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Aug'11 4341999 150.00 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
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If
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund