177281 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1
ONE CIVIC SQUARE JOAN KETTERMAN
CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE
o CARMEL IN 46033 CHECK NUMBER: 177281
CHECK DATE: 9/1512009
DEPA ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESC RIPTION
1125 4341999 AUG 09 100.00 OTHER PROFESSIONAL FE
Carmele Clay
Parks &Recreat CHECK REQUEST
Date: 9/1/2009
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 $100.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 8/11/09,8/25/09
2 Meetings (a $50.00 each 100.00 Aug 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.
i
SEP Q 1 2009
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
Uzi—
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 invoice(s) or bill(s)) PO Amount
911109 Aug'09 Park Board meeting attendance 100.00
Total 100.00
I 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
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Aug'09 4341999 100.00 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
10 -Sep 2009
J
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund