205521 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 364485 Page 1 of 1
ONE CIVIC SQUARE PAMELA S KNOWLES CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 1519 COOL CREEK DRIVE
CARMEL IN 46033 CHECK NUMBER: 205521
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 DEC'll 150.00 OTHER PROFESSIONAL FE
Carm Clay
Parks &Recreation CHECK REQUEST
Date: January 3, 2012 JAS 0 3 2012
Check payab
le to BY:.... I...'0........
Name: Pamela S. Knowles CCPR BOARD MEMBER
Address: 1519 Cool Creek Drive
City, State, Zip Carmel IN 46033
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 12/13/11
2 Meeting(s) (a $75.00 each 150.00 December 2011
To be paid from
PO (if applicable) N/A
Budget account GL 1125 -1 -01- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paul QSchlemmer
Requested by (signat
Approved by (signature of Division Manager):
on this date �y
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
364485 Knowles, Pamela S.
1519 Cool Creek Drive
Carmel, IN 46033
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
150.00
113112 Dec' 11 Park Board meeting attendance
TE$
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.
364485 Knowles, Pamela S. Allowed 20
1519 Cool Creek Drive
Carmel, IN 46033
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE 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
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund