173347 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362448 Page 1 of 1
c f ONE CIVIC SQUARE TRICIA HACKETT CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 12432 GLENDURGAN DRIVE
:oH cp CARMEL IN 46032 CHECK NUMBER: 173347
CHECK DATE: 6/10/2009
DEPARTMENT AC PO NUMBER INVOICE NUMBER A DESCRIPTIO
1125 4341999 150.00 OTHER PROFESSIONAL FE
r
Carm e C
Parks &Recreation CHECK REQUEST
Date: 6/1/2009
JUN U 1 2009
Check payable to BY: 1
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 Monthly pay for meetings attended 5/5/09,5/12/09,5/20/09
3 Meeting(s) Cad 50.00 each $150.00 May 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): ZL6 &'g� I/`[/
Approved by (signature of Division Manager):
on this date b
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.
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
6/1/09 Ma '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 #/TITLE AMOUNT Board Members
Dept
1125 Ma '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
4 -Jun 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund