HomeMy WebLinkAbout178036 10/14/2009 F CITY OF CARMEL, INDIANA VENDOR: 362933 Page 1 of 1
ONE CIVIC SQUARE TIM ARMBRUSTER
CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 12372 BROOKSHIRE PARKWAY
CARMEL IN 46033 CHECK NUMBER: 178036
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4341985 102309 250.00 GUEST SPEAKERS
I
1
i
I
i
Carmel o Clay
1 Parks &Recreation CHECK REQUEST
Date: Q i
S EP 18 2009
Check payable v
Name: f r 1
Address: 1 9 I_2_ F5 1�� �_,S h l ff P �AU V
City, State, Zip C' ax o I \\A L U' 6 3
Mail check to payee Return check to requestor
Check Amount Date Required
Check needed for: ('��1 l r� S s o C
Supporting documentation or receipt(s) MUST be attached.
To be paid from q Fund 1 U r O Budget Line OmN
Budget Line Description vender:
Requested by (print): 41
Requested by (signature):
Approved by (signature of Division Manager):
on this date
t
YEN MIIC`.�'D 1 D
E' fT E---1, T V SEP 1 8 2009
s
1 2972 BROOKsHiRR PKWYcA Run IN46O33
PH# 317=513 -6.927
TIMARM12229Y HOO. COM
BILL TO CARMEL CLAYPARKS d R:EC INVOICE #102309
REMITPAYMENT TO:• TIMARMBRUST£R
DJS£RYICEFOR 10123109 12:30- 4.•OOPAf
FLAT RAT£ Off" $250.00
TOTAL $250 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
10/23/09 102309 DJ Service for 10/23/09 250.00
Total 250.00
i 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 AITITLE AMOUNT Board Members
Dept
1046 102309 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