180157 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 354367 Page 1 of 1
ONE CIVIC SQUARE JOAN KETTERMAN
s CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 3413 EDEN HOLLOW PLACE
CARMEL IN 46033 CHECK NUMBER: 180157
CHECK DATE: 12/8/2009
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AM DESCRIPTION
1125 4341999 NOV 09 100.00 OTHER PROFESSIONAL FE
I
C e Clay
Parks &Recreat CHECK REQUEST
a
Date: 11/30/09 NOV 3 ZQQQ
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 11/10/09 11/24/09
2 Meetings (a) $50.00 each= $100.00 November 2009
To be paid from
PO (if applicable) N/A
Budget account GL 101- 1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature): jah hj
Approved by (signature of Division Manager):
on this date 3 d �0 9
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
J
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill tip be properly itemized must show kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
354367 Ketterman, Joan
3413 Eden Hollow Place
Carmel, IN 46033
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
100.00
11130109 Nov'09 Park Board meeting attendance
Total 100.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with'IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
354367 Ketterman, Joan Allowed 20
3413 Eden Hollow Place
Carmel, IN 46033
In Sum of$
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1125 Nov'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
3 -Dec 2009
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund