172263 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 354358 Page 1 of 1
t ONE CIVIC SQUARE PATRICIA CHESTER
CARMEL, INDIANA 46032 5041 DEER RIDGE CT CHECK AMOUNT: $100.00
CARMEL IN 46033
CHECK NUMBER: 172263
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 100•.00 OTHER PROFESSIONAL FE
Carmel e Clay
Parks &Recreation CHECK REQUEST
Cr7,, 7 b
Date: 514109
MAY 6 5 ?009
Check payable to .5
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 100.00 Date Required ASAP
Check needed for Monthly a for meetings attended 4/14/09.4/28/09
2 Meeting(s) $50.00 each= 100.00 April 2009
To be paid from
PO (if applicable) N/A
Budget account GL 101 -1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date 0
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
V
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
354358 Chester, Patricia Terms
5041 Deer Ridge Court
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
514/09 Apr'09 Park Board meeting attendance 100.00
Total 100.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
354358 Chester, Patricia Allowed 20
5041 Deer Ridge Court
Carmel, IN 46033
In Sum of$
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Apr'09 4341999 100.00 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
7 -May 2009
Signature
I 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund