HomeMy WebLinkAbout172342 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362448 Page 1 of 1
0 ONE CIVIC SQUARE TRICIA HACKETT
CARMEL, INDIANA 46032 12432 GLENDURGAN DRIVE CHECK AMOUNT: $150.00
CARMEL IN 46032
CHECK NUMBER: 172342
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1125 4341999 150.00 OTHER PROFESSIONAL FE
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Carmel 9 Clay
Parks &Recreatidh CHECK REQUEST
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Date: 5/4/09 All MAY 65 1009
BY: 5'
Check payable to:
Name: Paricia Hackett CCPR BOARD MEMBER
Address: 12432 Glendurgan Drive
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 MonthIV pay for meetings attended 4/14/09,4/21/09,4/28/09
3 Meeting(s) CcD 50.00 each 150 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
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.
362448 Hackett, Patricia Terms
12432 Glendurgan Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/4/09 A r'09 Park Board meeting attendance 150.00
Total 150.00
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.
362448 Hackett, Patricia Allowed 20
12432 Glendurgan Drive
Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1125 Apr'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
7 -May 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund