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HomeMy WebLinkAbout169893 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1 ONE CIVIC SQUARE JAMES L. ENGLEDOW CHECK AMOUNT: $150.00 CARMEL, INDIANA 46032 13851 RIVERW000 WAY CARMEL IN 46032 CHECK NUMBER: 169893 CHECK DATE: 3/1812009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 150.00 OTHER PROFESSIONAL FE I -m_ Carm a Cla Parks &Recreation CHECK REQUEST Date: 3/3/09 EI MICR 0 3 2009 Check payable to B 3 Q 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 150.00 Date Required ASAP Check needed for Monthly pay for meetings attended 2/2/09,2/5/09,2 /24109 3 Meetin s 50.00 each $150.00 Feb'09 To be paid from PO (if applicable) N/A Budget account GL 101 1125 4341999 Budget Line Description Other Professional Fees Invoice(s) and Purchase Order (if required) MUST be affached. Requested by (print): Paula Schlemmer 6� 6 Requested by signature): 6G 4x &Me2'� Approved by (signature of Division Manager): o on this date L) Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08) V 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)) Amount 313/09 Feb'09 Park Board meeting attendance 150.00 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 IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 354353 Engledow, James Allowed 20 13851 Riverwood Way Carmel, IN 46032 In Sum of 150.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Feb'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 12 -Mar 2009 u 1 i' Signature 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund