173403 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1
ONE CIVIC SQUARE JOAN KETTERMAN
CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE CHECK AMOUNT: $150.00
CARMEL IN 46033
CHECK NUMBER: 173403
CHECK DATE: 6/10/2009
DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAY09 150.00 OTHER PROFESSIONAL FE
Carmele Clay
Parks& Recreation CHECK REQUEST
ib 4'.
Date: 6/1/2009 JUN 0 1 2009
Ltl A e
Check payable to
Name: Joan Ketterman CCPR BOARD MEMBER
Address: 3413 Eden Hollow Place
City, State, Zip Carmel IN 46033
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 5/12/09,5/14/09,5/26/09
3 Meetings (a) $50.00 each $150.00 May 2009
To be paid from
PO (if applicable) N/A
Budget account GL 101 1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date Z- 1 9 :z 1-01,
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE oUCHER
CITY OF
kind of service, where performed, dates service rendered, by
An invoice of bill to be prop erl Y itemized must show; per hour, number of units, p rice per unit, etc.
whom, rates per day, number of hours, rate
Purchase Order No.
Payee Terms
354367 Ketterman, Joan
3413 Eden Hollow Place
Carmel, IN 46033
Description PO Amount
Invoice
Invoice (or note attached invoice or bill(s)) s) 150.00
Date Number attendance
611109
Ma '09 Park Board meeting
Total 150.00
or bill(s) is (are) true and correct and I have audited same in accordance
I hereby certify that the attached invoice( s
with Ic 5- 11- 10
20_ Clerk- Treasurer
Voucher No. Warrant No.
354367 Ketterman, Joan Allowed 20
3413 Eden Hollow Place
Carmel, IN 46033
In Sum of$
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