HomeMy WebLinkAbout205458 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 363796 Page 1 of 1
Q� ONE CIVIC SQUARE WENDY KAY FRANKLIN
CARMEL, INDIANA 46032 36 HORSESHOE LANE CHECK AMOUNT: $150.00
CARMEL IN 46033 CHECK NUMBER: 205458
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 DEC'll 150.00 OTHER PROFESSIONAL FE
Carmel a Clay
Parks &Recreation CHECK REQUEST 0 R O R M T9
Date: January 3, 2012 JAN 0 3 2012
BY:.. 1.O........
Check payable to
Name: Wendy Franklin CCPR BOARD MEMBER
Address: 36 Horseshoe Lane
City, State, Zip Carmel, IN 46033
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed tor Monthly pay for meetings attended 12/13/11
2 Meeting(s) (a) $75.00 each 150.00 December 2011
To be paid from
PO (if applicable) N/A
Budget account GL 1125 -1 -01- 4341999
Budget Line Description Other Professional Fees
invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager 00
on this date o�,
Form revised 7 -7 -0B Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
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.
363796 Franklin, Wendy Terms
36 Horseshoe Lane
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/3/12 Dec'11 Park board meeting attendance 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.
363796 Franklin, Wendy Allowed 20
36 Horseshoe Lane
Carmel, IN 46033
I n Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1125 Dec'11 4341999 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
11 -Jan 2012
P1 r7
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund