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167972 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00352834 Page 1 of 1 ONE CIVIC SQUARE DAN DUTCHER CHECK AMOUNT: $300.00 CARMEL, INDIANA 46032 11583 SUTTON PLACE yoX .ga` CARMEL IN 46032 CHECK NUMBER: 167972 CHECK DATE: 1/21/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4340400 300.00 PARK BOARD PER DIEM y; 2008 CARMEL CLAY BOARD OF PARKS RECREATION Name and Address: Patricia Chester 5041 Deer Ridge Court '�53D0- o Carmel, iN 46033 Susannah H. Dillon 0 507 Cornwall Court Carmel, IN 46032 Daniel T. Dutcher 11583 Sutton Place Drive 9- 06 Carmel, IN 46032 James L. Engledow 13851 Riverwood Way 06 Carmel, IN 46032 Tricia Hackett 12432 Glendurgan Drive 1* 04 Carmel, IN 46032 Judith F. Hagan 10946 Spring Mill Lane a2 06 Carmel, IN 46032 Joan B. Ketterman 3413 Eden Hollow Place Carmel, IN 46033 3 0 Joe Miller 4 13607 Thistlewood Dr. E. vo Carmel, IN 46032 Timothy P. Tolson 110 Shosone Drive o 0 Carmel, I N 46032 Purchase P r k &d n v� 1 Description P.O.# PorF G.L 0 .3 /V o eud Fir use hasw Date oDate =4 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. Dutcher, Daniel Terms 11583 Sutton Place Drive 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 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. Dutcher, Daniel Ailowed 20 11583 Sutton Place Drive 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 1125 2008 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 30050 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund