HomeMy WebLinkAbout202652 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LENO
i•. o CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 17 CONCORD CT
CARMEL IN 46032
CHECK NUMBER: 202652
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 10/28 200.00 ADULT CONTRACTORS
Carmel 9Clay
Parks &Recreation CHECK REQUEST
Date: O a 5 2011
Check payable to
Name: AV Le/An
Address: -1 61 9. Posewoo4 Ayf-
City, State, Zip ,Muwc, p-, ZN 73
Mail check to payee Return check to requestor
Check Amount 2 00 o CSC) Date Required
Check needed for Ar-e,45 Ev g.,yt
To be paid from
PO (if applicable) ooC) C` li
Budget account GL 1 0 I S� V W D
Budget Line Description C 0 Cna'v
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): J C-Go U AA L'---
Requested by (signature): !�Yz
Approved by (signature of Division Manager):
l
on this date 1 6 S 1 j
Form revised 7 -7 -08 Shared 1 Administrative Forms Staff forms Check Request (rev 7 -7 -08)
invoice.docx Page 1 of 1
Description
P.O.# LooL Po1q-) Orr
e.r_. DE` I 0
Budget
Line esCr t
Data
Purchas
Approval c Date
nna keno VOICE
2109 N. Rosewood Ave
Muncie, IN. 47304
Phone 317.656.7352
Date sent: Sept. 30, 2011
Date of Event: Oct. 28 2011
To: For:
Carmel Clay Parks and Recreation Carmel Elementary School
1235 Central Park Drive East 6:00- 9:00pm
Carmel IN. 46032
DESCRIPTION HOURS RATE AMOUNT
DI Services 3 Flat Rate $200
TOTAL $200.00
Make all checks payable to Anna Leno
Thank you for your business!
file: /C: \Documents and Settings \jmoore \Local Settings \Temporary Internet Files \Content.... 10/5/2011
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.
364270 Leno, Anna Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/30/11 10/28 DJ CE 10/28/11 200.00
10/3/11 10/21 CT CW 10/21/11 DJ 29014 300.00
Total 500.00
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.
364270 Leno, Anna Allowed 20
In Sum of
500.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1081 -1 10/28 4340800 200.00 1 hereby certify that the attached invoice(s), or
1081 -99 10/21 4340800 300.00 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
Signature
500.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund