202546 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 363796 Page 1 of 1
0 ONE CIVIC SQUARE WENDY KAY FRANKLIN
CARMEL, INDIANA 46032 36 HORSESHOE LANE CHECK AMOUNT: $75.00
CARMEL IN 46033 CHECK NUMBER: 202546
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 W03995 75.00 OTHER PROFESSIONAL FE
Ca rm el y
Parks &Recreation CHECK REQUEST
Date: October 3, 2011
OC 0 3 2011
Check payable to
Name: Wendy Franklin CCPR BOARD MEMBER
Address: 36 Horseshoe Lane
City, State, Zip Carmel IN 46033
X Mail check to payee Return check to requestor
Check Amount 75.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 9/27/11
1 Meeting(s) Cad $75.00 each $75.00 September 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 lemmer
Requested by (signature):
Approved by (signature of
U Di ision 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.
363796 Franklin, Wendy Terms
36 Horseshoe Lane
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/3/11 Se '11 Park board meeting attendance 75.00
Total 75.00
1 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.
363796 Franklin, Wendy Allowed 20
36 Horseshoe Lane
Carmel, IN 46033
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Sep'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
6 -Oct 2011
1 _12
T
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund