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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