HomeMy WebLinkAbout168953 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1
ONE CIVIC SQUARE JAMES L ENGLEDOW CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 13851 RIVERWOOD WAY
CARMEL IN 46032
CHECK NUMBER: 168953
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JAN09 300.00 OTHER PROFESSIONAL FE
Carmel a Clay
Parks &Recreation CHECK REQUEST
Date: 2113109
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 requester
Check Amount 300.00 Date Required ASAP
Check needed for Monthly pay for meetings attended
6 Meeting (s) an $50.00 each $300 00 1 January 2009
To be paid from
PO (if applicable) NIA
Budget account GL 101- 1125 4341999
Budget Line Description Other Professional Fees
Invoices) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature): 7
Approved by (signature of Division Manager): si f
on this date U
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to .he properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates-per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
354363 Engledow, James Terms
13851 Riverwood Way
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/12/09 Jan'09 Park Board meeting attendance 300.00
Total 300.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
354363 Engledow, James Allowed 20
13851 Riverwood Way
Carmel, IN 46032
In Sum of$
300.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Jan'09 4341999 300.00 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 -Feb 2009
V �L&"jo
Signature
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund