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