HomeMy WebLinkAbout172304 05/13/2009 �c. CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW CHECK AMOUNT: $315.82
,o CARMEL, INDIANA 46032 13851 RIVERWOOD WAY
CARMEL IN 46032 CHECK NUMBER: 172304
CHECK DATE: 5/1312009
DE PARTMENT _ACCOUNT PO NUM BER IN NUMBER A MOUNT DESCRIP
1125 4341999 250.0.0 OTHER PROFESSIONAL FE
1125 4.343003..: 65.82 TRAVEL LODGING
Carmel Clay
Parks &recreation CHECK REQUEST
I RE (;U ZZ R g
Date: 514109 1 f;
MAY o 5 2009
Check payable to: BY:
Name: James Engledow CCPR BOARD MEMBER
Address: 13581 Riverwood Way
City, State, Zip Carmel, IN 46032
X Mail check to payee Return check to requester
Check Amount 250.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 4113109, 4114109,4116/09,4121109
4128/09 5 Meeting(s) 50.00 each $250.00 Aril 2009
To be paid from
PO (if applicable) NIA
Budget account GL 101 -1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): t Paula Schlemmer
Requested by (signature): %�'1�C��'✓/1'1'1��1�
Approved by (signature of Division Manager): M
on this date
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
V
C arm el Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Offsite meeting Park Bd
4/21/2009 Macaroni Grill 1125 4343000 Travel fees expenses 65.82 members staff
No sales tax will be reimbursed. TOTAL: 65.82
119011I 20" ,W,deht F E .�¢s TP
Name (print) James L. Engledow a
Check
Address 13851 Riverwood Way UN MA Y 5 '0�9
payable to:
City, St, Zip Carmel, IN 46032
Approved by:
Date: 4- May -09 Date:
Revised 3 -2 -07 by Business Services;
Shared /Forms and Templates /Business Service Forms /Employee Exp Reimb Request 2007 -3
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
354363 Engledow, James Terms
13851 Riverwood Way
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
514109 Apr'09 Park Board meeting attendance 250.00
4121109 Reimb. Offsite meeting meal Park bd members staff 65.82
Total 315.82
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of$
315.82
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1125 A r'09 4341999 250.00 1 hereby certify that the attached invoice(s), or
1125 Reimb. 4343003 65.82 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
7 -May 2009
Signature
315.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund