HomeMy WebLinkAbout173311 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY CHECK AMOUNT: $250.00
CARMEL IN 46032
CHECK NUMBER: 173311
CHECK DATE: 611012009
DEPART ACCOUNT PO NUMBER INVOICE NUMBER A MOUN T DESCRIPTION
1125 4341999 250.00 OTHER PROFESSIONAL FE
Carmel y
Parks &recreation CHECK REQUEST
I
p i�"I It V Date: 6/1/2009 J UN O 1 2009
Check payable to
Name: James En ledow CCPR BOARD MEMBER
Address: 13581 Riverwood Wa
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 5/5/09,5/12/09,5/14/09,5/20/09,
5126109 5 Meeting(s) (a) $50.00 each $250.00May 2009
To be paid from
PO (if applicable) NIA
Budget account GL 101 -1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date ��LO
Form revised 7 -7 -08 Shared 1 Administrative I Forrns I Staff forms I Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
354363 Engledow, James
13851 Riverwood Way
Carmel, IN 46032
Invoice Invoice Description 250.00
Amount
Date Number (or note attached invoice(s) or bill(s)) PO
611109 Ma '09 Park Board meeting attendance
Total 250.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of$
250.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Ma '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
4 -Jun 2009
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund