167963 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 354361 Page 1 of 1
ONE CIVIC SQUARE SUSANNAH H DILLON CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 507 CORNWALL CT
CARMEL IN 46032 CHECK NUMBER: 167963
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4340400 300.00 PARK BOARD PER DIEM
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2008 CARMEL CLAY BOARD OF PARKS RECREATION
Name and Address:
Patricia Chester
5041 Deer Ridge Court ADO. 4 0
Carmel, iN 46033
Susannah H. Dillon At
507 Cornwall Court
306'
Carmel, IN 46032
Daniel T. Dutcher
11583 Sutton Place Drive 9-
Carmel, IN 46032
James L. Engledow
13851 Riverwood Way 3d d o e
Carmel, IN 46032
Tricia Hackett
12432 Glendurgan Drive p�
Carmel, IN 46032
Judith F. Hagan
10946 Spring Mill Lane
Carmel, IN 46032
Joan B. Ketterman
3413 Eden Hollow Place
Carmel, I N 46033 r1b
Joe Miller
13607 Thistlewood Dr. E. a va
Carmel, IN 46032
Timothy P. Tolson
110 Shosone Drive
0 6
Carmel, I N 46032
Purchase P r.k de �nn v�
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Diflon, Susannah Terms
507 Cornwall Court
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
116109 2008 Park Board Annual Pay 300.00
Total 300.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
Dillon, Susannah Allowed 20
507 Cornwall Court
Carmel, IN 46032
In Sum of
300.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
112 200$ 4340400 300.00 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
6 -Jan 2009
Signature
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund