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HomeMy WebLinkAbout178035 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362933 Page 1 of 1 ONE CIVIC SQUARE TIM ARMBRUSTER CARMEL, INDIANA 46032 12872 BROOKSHIRE PARKWAY CHECK AMOUNT: $250.00 CARMEL IN 46033 CHECK NUMBER: 178035 CHECK DATE: 10/14/2009 D EPARTMENT ACCO P NUMBER INVOICE NUMBER AMOUNT. DESCRIPTION 1046 4341985 101609 250.00 GUEST SPEAKERS Carmel o Clay Parks &Recreation CHECK REQUEST Date: l�� l�� 11�1 SEP 8 2009 Check payable to 7 A-rrn runs �e� Name: Address: O Z-- Q d-J r,(7 City, State, Zip l: ��Y F V 1 l LP 0 Mail check to payee Return check to requestor 00 y Check Amount 0 Date Required 1 i Check needed for: 0 pny (C .ls' Supporting documentation or receipt(s) MUST be attached. To be paid from i f Fund 4U loo Budget Line# u "I n Budget Line Description Requested by (print): Requested by (signature) f Approved by (signa of Division Manager): on this date D Y�MIIV 5�NID U V T— TA- 1��� 5 E zo09�ttt 1 ,0972 BR00KSHIRE PKWYCARME MF 4603s 1'� PH# 317-513-6927 TIM A W 12.2 2 9 YA H O O CO Q RILL TO CARREL CLAYPARKS d R£C LWOICR #101609 REMIT PA]IMEVT TO.° TLYARMBRUSTRR DJS F O R 10/16109 5. 30.9. 00PN FLAT RAT£ OP$250.00 TOTAL $.250.00 lk� 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 10116/09 101609 DJ Service for 10/16/09 250.00 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 101609 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 7 -Oct 2009 Signature 250.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund