HomeMy WebLinkAbout174842 07/22/2009 CITY OF CARMEL, INDIANA VENDOR; 354363 Page 1 of 1
0 ONE CIVIC SQUARE JAMES L ENGLEDOW CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY
CARMEL IN 46032 CHECK NUMBER: 174842
CHECK DATE: 7!2212009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
1125 4341999 JUN 09 250.00 OTHER PROFESSIONAL FE
Carm e Clay
Parks &Re creation CHECK REQUEST
Date: July 3, 2009
Check payable to
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 250.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 619 /09, 6111109,6116/09,6118109,6123109
5 Meeting(s) (d) $50.00 each 250.00 June 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
JU U 3 2000
Requested by (print): Paula Schlemmer 'T
Requested by (signature): t. Zf lII�/lyt Z4
Approved by (signature of Division Manager):
on this date
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(s) or bill(s)) PO Amount
713109 Jun'09 Park Board meeting attendance 250.00
Total 250.00
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.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of
250.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1125 Jun'09 4341999 250.00 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
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund