HomeMy WebLinkAbout180048 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 354361 Page 1 of 1
ONE CIVIC SQUARE SUSANNAH H DILLON
CARMEL, INDIANA 46032 507 CORNWALL CT CHECK AMOUNT: $100.00
'w roN `o CARMEL IN 46032 CHECK NUMBER: 180048
CHECK DATE: 12/812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 100.00 OTHER PROFESSIONAL FE
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Carrel a Clay
Pa rks Recreation CHECK REQUEST
:1'li NOV 3 2009
Date: 11/30/2009
a ...(2.
Check payable to
Name: Susannah Dillon CCPR BOARD MEMBER
Address: 507 Cornwall Court
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount 1( c)ozr) Date Required ASAP
Check needed for Monthly pay for meetings attended 11/10/09,11/24/09
2 Meeting(s) 0) $50.00 each $100-00 November 2009
To be paid from
PO (if applicable) N/A
Budget account GL 101 -1125- 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): f
on this date
Form revised 7 7 08 Shared I Administrative Forms I Staff forms Check Request (rev 7 7 08)
V
r
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
354361 Dillon, Susannah
507 Cornwall Court
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO Amount
11130109 Nov'09 Park Board meeting attendance
100.00
Total 100.00
is (are) true and correct and I have audited same in accordance
I hereby certify that the attached invoice(s), or bill(s)
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
354361 Dillon, Susannah Allowed 20
507 Cornwall Court
Carmel, IN 46032
In Sum of
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100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/T[TLE AMOUNT Board Members
Dept
1125 Nov'09 4341999 100.00 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
3 -Dec 2009
Signature
i s 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund