HomeMy WebLinkAbout176207 08/19/2009 tqy 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 ;N 46032 CHECK NUMBER: 176207
CHECK DATE: 8119/2009
DEPARTMENT ACCOUNT PO NUMBE INVOIC NUMBE AMOUNT DESCRIPTION
1125 4341999 -INVOIC
09 150.00 OTHER PROFESSIONAL FE
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Carmel e Clay
Darks &Recreation CHECK REQUEST
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Date: August 3, 2009 AV 20
Check V a able to c J f
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Name: Susannah Dillon CCPR BOARD MEMBER
Address: 507 Cornwall Court
City, State, Zip Carmel W 46032
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for MonthlV pay for meetings attended 7/6/09,7/14/09,7/28/09
3 Meeting(s) (a) $50.00 each $150.00 July 2009
To be paid from
PO (if applicable) NIA
Budget account GL 101 -1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature): P &H 1OYY1 L
Approved by (signature of Division Manager):
on this date e3 0
Form revised 7 -7 -08 Shared Administrative I Forms Staff forms I Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
354361 Dillon, Susannah Terms
507 Cornwall Court
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
813109 Jul'09 Park Board meeting attendance 150.00
Total 150.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
354361 Dillon, Susannah Allowed 20
507 Cornwall Court
Carmel, IN 46032
In Sum of$
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Jul'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
13 -Aug 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund