HomeMy WebLinkAbout203932 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
E ONE CIVIC SQUARE ANNA LENO CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 17 CONCORD CT
r�N CARMEL IN 46032 CHECK NUMBER: 203932
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 12/23 150.00 ADULT CONTRACTORS
Carmel eCay
Parks &Recreation CHECK REQUEST
Date: I
Check payab to
Name: A L-e t'1G
Address: N
City, State, Zip
C oon C c,
Mail check to payee X Return check to requestor
Check Amount: Date Required or K9 j
Check needed for
To be paid from
PO (if applicable)
Budget account GL is
Budget Line Description J;�?fC 0 G\C^m CC C�
Q
Invoice attached
and Purchase Order (if required) MUST be attache
NOV 15 20 t.
Requested by (Print): V 0 G mri 0 e ..................a....
Requested by (signature): \A r Y
Approved by (signature of Division Manager): GS
on this date
Form revised 7 -7 -08 Shared I Administrative Forms I Staff forms I Check Request (rev 7 -7 -08)
V
A nna Leno X14VOICE
2109 N. Rosewood Ave
Muncie, IN. 47304
Phone 317.656.7352
Date sent: Nov. 11, 2011
Date of Event: Dec. 23, 2011
To: For:
Carmel Clay Parks and Recreation Cherry Tree Elementary
1235 Central Park Drive East
Ca rmel, IN. 46032
DESCRIPTION HOURS RATE AMOUNT
D] Services 2 75 /hr $150
TOTAL $150.00
Make all checks payable to Anna Leno
Thank you for your business!
Purchase
Description
P.O. Foy
o� D P o to
G.L.
TT Budget
Q Line Descr
y NOV 5 2011 (1 Purch er D ate
Approv -J—1
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
2109 N. Rosewood Ave
Muncie, IN 47304
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/11/11 12/23 DJ 12/23/11 CT 150.00
,Total 150.00
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
2109 N. Rosewood Ave
Muncie, IN 47304
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1081 -99 12/23 4340800 150.00 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
17 -Nov 2011
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund