HomeMy WebLinkAbout177176 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 354361 Page 1 of 1
ONE CIVIC SQUARE SUSANNAH H DILLON CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 507 CORNWALL CT
CARMEL IN 46032 CHECK NUMBER: 177176
CHECK DATE: 9115/2009
DEPARTMENT A PO NUM BER INVOICE NUMB AMOUN DESCRIPTION Y
1125 4341999 150.00 OTHER PROFESSIONAL FE
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Carmel e C lay
Parks &Recreation CHECK REQUEST
Date: 9/1/2009
Check payable to
Name: Susannah Dillon CCPR BOARD MEMBER
Address: 507 Comwall Court
City, State, Zip Carmel, IN 46032
X Mail check to payee return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 8111109,8125109,8127109
3 Meeting(s) (5) 50.00 each 150.00 Aug 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.�'�"
SEP 0 1 2009
Requested by (print): Paula Schlemmer BY:
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 7 -7 -08 Shared I Administrative 1 Forms 1 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.
354361 Dillon, Susannah Terms
507 Cornwall Court
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/1/09 Aug'09 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.
354361 Dillon, Susannah Allowed 20
507 Cornwall Court
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Aug'09 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
10 -Sep 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund