HomeMy WebLinkAbout174833 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00352834 Page 1 of 1
0 ONE CIVIC SQUARE DAN DUTCHER
i a CARMEL, INDIANA 46032 11583 SUTTON PLACE CHECK AMOUNT: $100.00
4,_ CARMEL IN 46032 CHECK NUMBER: 174833
CHECK DATE: 7/22/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JUN 09 100.00 OTHER PROFESSIONAL FE
Ca rmel Clay
Parks&Recreation CHECK REQUEST
Date: July 3, 2009
Check payable to
Name: Daniel Dutcher CCPR BOARD MEMBER
Address: 11583 Sutton Place Drive
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 pay for meetings attended 6/9/09,6/23/09
2 Meeting(s) 0 50.00 each $100.00 June 2009
To be paid from
PO (if applicable) NIA
Budget account GL 101-1125-4341999
Budget Line Description Other Professional Fees
k.
Invoice(s) and Purchase Order (if required) MUST be attached. J UL nog
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date o
Form revised 7 -7 -08 Shared I Administrative I 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.
00352834 Dutcher, Daniel Terms
11583 Sutton Place Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
713109 Jun'09 Park Board meeting attendance 100.00
Total Is 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.
00352834 Dutcher, Daniel Allowed 20
11583 Sutton Place Drive
Carmel, IN 46032
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. A.CCT #/TITILE AMOUNT Board Members
Dept
1125 Jun'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
16 -Jul 2009
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund