176307 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1
f ONE CIVIC SQUARE JOAN KETTERMAN CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE
CARMEL IN 46033 CHECK NUMBER: 176307
CHECK DATE: 8/1912009
DEPARTMENT A CCOU NT PO NUMB INVOICE NUM AM OUNT DESC RIPTIO N
1125 4341999 JUL 09 150.00 OTHER PROFESSIONAL FE
Carmele Clay
Parks &Recreation CHECK REQUEST
Date: August 3, 2009 R
AUG 0 3 2009
Check payable t 11
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 7/6/09,7/14/09,7/28/09
3 Meetings (c) $50.00 each 150.00 July 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): .i' 1 7
Approved by (signature of Division Manager):
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.
354367 Ketterman, Joan Terms
3413 Eden Hollow Place
Carmel, IN 46033
Invoice Invoice Description
Date Number
or note attached PO Amount
invoice(s) or bill(s))
813109 Jul'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
1 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 Jul'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
13 -Aug 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund