HomeMy WebLinkAbout180732 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 362933 Page 1 of 1
t ONE CIVIC SQUARE TIM ARMBRUSTER CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 12872 BROOKSHIRE PARKWAY
CARMEL IN 46033 CHECK NUMBER: 180732
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'1046 4341985 250.00 GUEST SPEAKERS
Carmel c Clay
Parks &Recreation CHECK REQUEST
Date: 1 V e
e DEC I 0 2009
Check payable to
1'� i'Vl rl'�US� Dye
Name: r'
Address: cat'r rb SY I k uj 1
City, State, Zip UJOmO 1 1N LA t p b�
Mail check to payee um check to requestor
Check Amount C Date Required 2- 1 -3 09
Check needed for
To be paid from
PO (if applicable)
Budget account GL �s C''
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
Requested by (print):
Requested by (signature).
Approved by (signature of Division Manager):
on this date b
4t
Form revised 1 -21 -08
E T Rn TA t, I T
DEC 1 0 2009
12972 BROOKSHIRE PKWYCARMEL 1,V46033 jj r
PH# 317-51,3-6,52 7
TIMA RM 2229 IIA HOO. COM
BILL TO: CAR EL CLA YPARWS RFC CtYV
Hh'Al'IT PA YWNT TO: TIM A RWBR US TER
DJ SER VICL AND LIGHTS FOR P
L OCATION: PRA fRIEPLA CE E I-EMf- R I
12:00-4:OOPAI
SET UP 12:00- I. TAIN 7:00-3:001CL EAN UP 3.
FLA T RA TE OF S2-50. 00
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.
362933 Armbruster, Tim Terms
12872 Brookshire Pkwy
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/14/03 123009 DJ Service for Winter break PT 12/30/09 22997 F 250.00
Total 250.00
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.
362933 Armbruster, Tim Allowed 20
12872 Brookshire Pkwy
Carmel, IN 46033
In Sum of
250.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 123009 4341985 250.00 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
23 -Dec 2009
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund