HomeMy WebLinkAbout174423 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 362949 Page 1 of 1
ONE CIVIC SQUARE PATRICK MAUTNER
CARMEL, INDIANA 46032 10203 PARKSHORE DRIVE CHECK AMOUNT: $222.25
FISHERS IN 46038
CHECK NUMBER: 174423
CHECK DATE: 7/8/2009
DEPARTMENT ACC OUNT P O NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1046 4340800 5 222.25 ADULT CONTRACTORS
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Carmel c Clad` 9 -DO vs
Parks Recreation CHECK REQUEST
Date: Z
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Check payable t JUN 0 2 2009
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Name. ?or C i C.k Y1� C'
Address:
City, State, Zip 7 1%Y\ecs 1 y(0 03$
Mail check to payee Return check to requestor
Check Amount a a a Q SJ Date Required J1 4 G 1
Check needed for Q e�nc� of �c-
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To be paid from
PO (if applicable)
Budget account GL (D— Z. l0 04
Budget Line Description J�i QQ �/`o n-- yY\ CO4r�
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): e_Y \Ve. -C G yy\ y As
Requested by (signature): A (Y
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Approved by (signature of Division Manager): j
on this date y �i
Form revised 1 -21 -08
fie,
Patrick Mautner INVOICE
10203 Parkshore Drive
Fishers, IN 46038
INVOICE #005
DATE: JUNE 2, 2009
TO: FOR:
Carmel Clay Parks and Recreation Project and support assistance
Alternative Minds Summer Program
1235 Central Park Drive East
Carmel, IN 46032
317.698.4966
DESCRIPTION HOURS RATE AMOUNT
July 6 -10, 2009
Providing 25 hrs of onsite support to Alternative Minds summer program, 25 /wk 222.25/wk 222.25
including map, history, and special activity projects for up to 30 children.
F JUN 0 2 20
icy
TOTAL $222.25
Make all checks payable to Patrick Mautner
Thank you for your business!
Y
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill 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.
362949 Mautner, Patrick Terms
10203 Parkshore Drive
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/2/09 5 Alt. minds program 7/6/09 7/10/09 20892 p 222.25
Total 222.25
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.
362949 Mautner, Patrick Allowed 20
10203 Parkshore Drive
Fishers, IN 46038
In Sum of
I 222.25
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 5 4340800 222.25 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
2 -Jul 2009
4YJ�Al
Signature
222.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund