HomeMy WebLinkAbout180058 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
CARMEL INDIANA 46032 13851 RIVERWOOD WAY CHECK AMOUNT: $100.00
CARMEL IN 46032
CHECK NUMBER: 180058
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 11/09 100.00 OTHER PROFESSIONAL FE
Carmel o Clay
Parks &Recreation CHECK REQUEST
Date: 11/30/09
NOV 3 0 2009
Check payable
Name: James Engledow CCPR BOARD MEMBER
Address: 13581 Riverwood Way
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 11110/09, 11/24/09
2 Meeting(s) 50.00 each $100.00 November 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):
G
Approved by (signature of Division Manager):
on this date 11 36 lo
Form revised 7 -7 -08 Shared Administrative Forms 1 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.
354363 Engledow, James Terms
13851 Riverwood Way
0
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/30/09 Nov'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.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. CCT #/TITL AMOUNT Board Members
Dept ept
1125 Nov'09 4341999 100.00 1 hereby certify that the attached invoice(s), or
bili(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
3 -Dec 2009
Signature
Is 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund