HomeMy WebLinkAbout202651 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LEND
CARMEL, INDIANA 46032 17 CONCORD CT CHECK AMOUNT: $300.00
CARMEL IN 46032
o CHECK NUMBER: 202651
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 10/21 300.00 ADULT CONTRACTORS
Carrel Clay
Parks &Recreation CHECK REQUEST
Date: 1 Q H r
Check payable to: -J
Name: cyy, O
Address:
City, State, Zip C- t i e- O
Mail check to payee Return check to requestor
Check Amount I S dd Date Required
Check needed for C.)
C" v �tiL� y�1 do
To be paid from s
PO (if applicable) t. 0 V 0
Budget account GL a U���
Budget Line Description pC
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): V e-(\
Requested by (signature):
Approved by (signature of Division Manager):
on this date l Y i
Form revised 1 -21 -08
invoice.docx Page 1 of 1
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P.O. A 0
l un �ar�s 6 v rae off
Purchase► 1 Date- t I C 1 T
Anna Leno
IN
2109 N. Rosewood Ave
Muncie, IN. 47304
Phone 317.656.7352
Date sent: Oct. 3, 2011
Date of Event: Oct. 21, 2011
T o: For:
Carmel Clay Parks and Recreation Cherry Tree Elementary
1235 Central Park Drive East 12:30- 2:30pm
Carmel, IN. 46032 College Wood Elementary
3:30- 5:30pm
DESCRIPTION HOURS RATE AMOUNT
DJ Services 4 75 /hr $300
TOTAL $300.00
Make all checks payable to Anna Leno
Thank you for your business!
file: /C:\Documents and Settings \lacosta.CCP.R.000 \Local Settings \Tempora_.. 10 /4/2011
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
364270 Leno, Anna Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/30111 10128 DJ CE 10/28/11 200.00
1013111 10121 CT CW 10/21/11 DJ 29014 300.00
Total 500.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
364270 Leno, Anna Allowed 20
In Sum of$
500.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. A.CCT #MTL1 AMOUNT Board Members
Dept
1081 -1 10128 4340800 200.00 1 hereby certify that the attached invoice(s), or
1081 -99 10121 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
50050 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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