201294 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 364485 Page 1 of 1
ONE CIVIC SQUARE PAMELA S KNOWLES
s CARMEL, INDIANA 46032 1519 COOL CREEK DRIVE CHECK AMOUNT: $150.00
CARMEL IN 46033 CHECK NUMBER: 201294
CHECK DATE: 9/1312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 AUG '11 150.00 OTHER PROFESSIONAL FE
Carmel ®Clay
Parks &Recreation CHECK REQUEST
Date: September 2, 2011
i
Q 7011
Check payable to 9
n
Name: Pamela S. Knowles CCPR BOARD MEMBER
Address: 1519 Cool Creek Drive
City, State, Zip Carmel IN 46033
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 8/9/11,8/23/11
2 Meeting(s) $75.00 each $150.00 August 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): �t��2 �QfyIyYLQ/f
Approved by (signature of Division Manager):
on this date 1"LlIz
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.
364485 Knowles, Pamela S. Terms
1519 Cool Creek Drive
Carmel, IN 46033
Invoice Invoice Description`
Date Number (or note attached invoice(s) or bill(s)) PO Amount 150.00
912111 A '11 Park Board meeting attendance
u
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
Voucher No. Warrant No.
364485 Knowles, Pamela S. Allowed 20
1519 Cool Creek Drive
Carmel, IN 46033
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1125 Au '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
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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