168011 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 362448 Page 1 of 1
ONE CIVIC SQUARE TRICIA HACKETT
CARMEL, INDIANA 46032 CHECK AMOUNT: $150.00
•i
12432 GLENDURGAN DRIVE
o� CARMEL IN 46032 CHECK NUMBER: 168011
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO N INVOICE NU AMOUNT DESCRIPTION
1125 4340400 150.00 PARK BOARD PER DIEM
2008 CARMEL CLAY BOARD OF PARKS RECREATION
Name and Address:
Patricia Chester
5041 Deer Ridge Court o
Carmel, iN 46033
Susannah H. Dillon
507 Cornwall Court
Carmel, IN 46032 �Od.
Daniel T. Dutcher
11583 Sutton Place Drive 3�0.
Carmel, IN 46032
James L. Engledow
13851 Riverwood Way Sod a°
Carmel, IN 46032
Tricia Hackett
12432 Glendurgan Drive j� e
Carmel, IN 46032
Judith F. Hagan
10946 Spring Mill Lane
Carmel, IN 46032
Joan B. Ketterman
3413 Eden Hollow Place
Carmel, IN 46033
Joe Miller,
13607 Thistlewood Dr. E. 36e d
Carmel, IN 46032
Timothy P. Tolson
110 Shosone Drive 3�D od
Carmel, IN 46032
Purchase
Descrlptlon
P.O.# PorF
Q. L. 0 3 'o 41 e
Budget Jv i 5h_ 9
one
Purchaser Date 9
Approve Date�
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.
Hackett, Tricia Terms
12432 Glendurgan Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/6/09 2008 Park Board Annual Pay 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Hackett, Tricia Allowed 20
12432 Glendurgan Drive
,t Carmel, IN 46032
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 2008 4340400 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
6 -Jan 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund