176182 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 354358 Page 1 of 1
F 0 ONE CIVIC SQUARE PATRICIA CHESTER CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 5041 DEER RIDGE CT
CARMEL IN 46033 CHECK NUMBER: 176182
CHECK DATE: 811912009
DEP ARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JUL 09 150.00 OTHER PROFESSIONAL FE
4
C arm ele Clay
Parks &Recreation CHECK REQUEST
Date: August 3, 2009 AfiG
20�
8-/
Check payable to
Name: Patricia Chester CCPR BOARD MEMBER
Address: 5041 Deer Ridge Court
City, State, Zip Carmel. IN 46033
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 716/09,7/14/09,7/28/09
3 Meeting(s) (5) 50.00 each $150.00 July 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): J b
Approved by (signature of Division Manager):
on this date e�' 3 Q `7
Form revised 7 -7 -08 Shared Administrative Forms 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.
354358 Chester, Patricia Terms
5041 Deer Ridge Court
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
813109 Jul'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.
354358 Chester, Patricia Allowed 20
5041 Deer Ridge Court
Carmel, IN 46033
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Jul'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
13 -Aug 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund