206319 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 364485 Page 1 of 1
1 ONE CIVIC SQUARE PAMELA S KNOWLES CHECK AMOUNT: $225.00
CARMEL, INDIANA 46032 1519 COOL CREEK DRIVE
CARMEL IN 46033 CHECK NUMBER: 206319
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JAN 12 225.00 OTHER PROFESSIONAL FE
Carmel e Clay
Parks &ReUeatidh CHECK REQUEST
FEB 0 3 2012
Date: 2/3/2012
BY:.......................
Check payable to
Name: Pamela S. Knowles CCPR BOARD MEMBER
Address: 1519 Cool Creek Drive
City, State, Zip Carmel IN 46033
X Mail check to payee Return check to requestor
Check Amount 225.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 1/5/12,1/10/12,1/24/12,
3 Meeting(s) C@ $75.00 each $225.00 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 Schlemmer
Requested by (signature):
r
Approved by (signature of Division Manager):
on this date a l
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.
364485 Knowles, Pamela S. Terms
1519 Cool Creek Drive
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/3/12 Jan'12 Monthly pay for meetings attended 225.00
Total 225.00
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.
364485 Knowles, Pamela S. Allowed 20
1519 Cool Creek Drive
Carmel, IN 46033
In Sum of
i
225.00
s
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. 4,CCT #/TITLE AMOUNT Board Members
Dept
1125 Jan "2 4341999 225.00 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
225.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund