HomeMy WebLinkAbout173297 06/10/2009 4q, CITY OF CARMEL, INDIANA VENDOR: 354361 Page 1 of 1
ONE CIVIC SQUARE SUSANNAH H DILLON CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 soy CORNWALL CT
CARMEL IN 46032 CHECK NUMBER: 173297
CHECK DATE: 6/10/2009
DEPART ACCOUNT P O NU MBER INVOIC NUMBER AMOUNT DESCRIPTION
1125 v 4341999 100.00 OTHER PROFESSIONAL FE
Carmel e Clay
Parks &Recreation CHECK REQUEST
7 4
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Date: 6/1/2009 JUN 0 1 2009
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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 100.00 Date Required: ASAP
Check needed for Monthly a for meetings attended 5112109 5/26/09
2 Meeting(s) 0 $50.00 each 100.00 May 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): Pau Schlemmer
Requested by (signature): �CJCiI'
Approved by (signature of Division Manager):
on this date 6
Z' S
Form revised 7 -7 -08 Shared Administrative 1 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.
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
611109 Ma '09 Park Board meeting attendance 100.00
Total 100.00
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.
354361 Dillon, Susannah Allowed 20
507 Cornwall Court
Carmel, IN 46032
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Ma '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
4 -Jun 2009
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund