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HomeMy WebLinkAbout206220 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 354363 Page 1 of 1 ONE CIVIC SQUARE JAMES L ENGLEDOW CARMEL, INDIANA 46032 13851 RIVERWOOD WAY CHECK AMOUNT: $150.00 CARMEL IN 46032 CHECK NUMBER: 206220 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4341999 JAN'12 150.00 OTHER PROFESSIONAL FE Carmel achy Parks &Recreation CHECK REQUEST p TO 7 WTP" E Date: 2/3/2012 FEB 0 3 2012 Check payable to Name: James Engledow CCPR BOARD MEMBER Address: 13851 Riverwood Way 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 1/10/12,1/24/12, 2 Meeting(s) (a) $75.00 each 150.00 January 2012 To be paid from PO (if applicable) N/A Budget account GL 1125 -1 -01- 4341999 Budget Line Description Other Professional Fees Invoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): Paula S n chlemmer Requested by (signature): Approved by (signature of Division Manager): on this date Z-- 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. 354363 Engledow, James Terms 13851 Riverwood Way Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 213112 Jan'12 Monthly pay for meetings attended 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. 354363 Engledow, James Allowed 20 13851 Riverwood Way 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 Jan'12 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 9 -Feb 2012 Signature 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund