168983 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 362448 Page 1 of 1
ONE CIVIC SQUARE TRICIA HACKETT CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 12432 GLENDURGAN DRIVE
CARMEL IN 46032 CHECK NUMBER: 168983
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JAN09 300.00 OTHER PROFESSIONAL FE
Carme-1 lay
Parke &Recreation CHECK REQUEST
Date: 4 1'�
Check payable to
Name: Patricia 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 300.00 Date Required ASAP
Check needed for Monthly pay for meetings attended
6 Meeting(s) 0) 50.00 each $300.00 January 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): U�
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 prop,rly 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 I Description
Date (or note attached invoice(s) or bill(s)) Amount
2112109 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.
362448 Hackett, Patricia Allowed 20
12432 Glendurgan Drive
Carmel, IN 46032
In Sum of
y 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
Signature
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund