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HomeMy WebLinkAbout168915 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 354358 Page 1 of 1 ONE CIVIC SQUARE PATRICIA CHESTER CHECK AMOUNT: $200.00 CARMEL, INDIANA 46032 5041 DEER RIDGE CT CARMEL IN 46033 CHECK NUMBER: 168915 CHECK DATE: 2/1712009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER ..AMOUN T DESCRIPTION 1125 4341999 200.00 OTHER PROFESSIONAL FE j Carmelo Clay Parks& Re- creatiOn CHECK REQUEST Date: 2113109 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 requester Check Amount 200.00 Date Required: ASAP Check needed for Monthly pay for meetings attended 4 Meeting(s) 50.00 each 200.00 Janua 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): Approved by (signature of Division Manager): d on this date 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)) Amount 2112109 Jan'09 Park Board meeting attendance 200.00 Total I 200.00 l 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 200.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Jan'09 4341999 200.00 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 fALeLj2 Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund