HomeMy WebLinkAbout206323 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 365954 Page 1 of 1
ONE CIVIC SQUARE JENN KRISTUNAS CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 11090 BROADWAY
ti co INDIANAPOLIS IN 46280 CHECK NUMBER: 206323
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 JAN 12 150.00 OTHER PROFESSIONAL FE
Carmel 0 clay
Pa rks &Recreation CHECK REQUEST
TR�
Date: 2/3/2012 FEB 0 3 2011
BY:
Check payable to
Name: Jenn Kristunas CCPR BOARD MEMBER
Address: 11090 Broadwa
City, State, Zip Indianapolis IN 46280
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) (5) 75.00 each $150.00 JanuarV 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): &Jjj
i nature of Division Manager): 4 Approved by (s g g V I
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 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.
Kristunas, Jenn Terms
11090 Broadway
Indianapolis, IN 46280
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 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.
Kristunas, Jenn Allowed 20
11090 Broadway
Indianapolis, IN 46280
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