HomeMy WebLinkAbout176218 08/19/2009 a� CITY OF CARMEL INDIANA VENDOR: 354363 Page 1 of 1
s ONE CIVIC SQUARE JAMES L ENGLEDOW
CARMEL, INDIANA 46032 13851 R VERWOOD WAY
CHECK AMOUNT: $150.00
CARMEL IN 46032
CHECK NUMBER: 176218
CHECK DATE: 811912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JUL 09 150.00 OTHER PROFESSIONAL FE
Carmel e Clay
Parks &Recreation CHECK REQUEST JE
Date: August 3, 2009 0 3 2009
Check payable to:
Name: James En ledow CCPR BOARD MEMBER
Address: 13581 Riverwood Way
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestgr
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 7/6/09,7/7/09,7/28/09
3 Meeting(s) O $50.00 each 150.00 July 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):
Approved by (signature of Division Manager): d&
on this date X1 13 o �1
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
Carmel, IN 46032
Invoice invoice Description
Date Number (or note attached invoice 150.00
s) or bill(s)) PO Amount
813109 Jul'09 Park Board meeting attendance
Total 150.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
1 20
Clerk- Treasurer
s
Voucher No. Warrant No.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of
y
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Jul'09 4341999 150.00 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
13 -Aug 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund