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HomeMy WebLinkAbout173934 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362949 Page 1 of 1 ONE CIVIC SQUARE PATRICK MAUTNER 0 CHECK AMOUNT: $222.25 CARMEL, INDIANA 46032 10203 PARKSHORE DRIVE FISHERS IN 46038 CHECK NUMBER: 173934 CHECK DATE: 6/24/2009 D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION ;1046 4340800 4 222.25 ADULT CONTRACTORS <i Carmel c Clad` Parks &Recreation CHECK REQUEST Date: Z-9 Check payable to Name. po� C ►C1K. i' 1a•v�Y12c Address: LO Z O S P air s r�oce City, state, zip Mail check to payee Return check to requestor Check Amount C;� Q of 5 Date Required J V�y S I O� Check needed for Gr Svmyy- e G ,rh�_ To be paid from PO (if applicable) Budget account GL CQ 2L0 Budget Line Description z oo P(b y r�. yy\r Ccq\ 'r% %cATj r- V Supporting documentation or receipt(s) MUST be attached. Requested by (print): 2 ���e YY\a tnS Requested by (signature): l Approved by (signature of Division Manager): on this date 0- U Form revised 1 -21 -08 Nj 4 Patrick Mautner INVOICE 10203 Parkshore Drive Fishers, IN 46038 INVOICE #004 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 June 29 -July 3 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. TOTAL $222.25 Make all checks payable to Patrick Mautner Thank you for your business! 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. 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 4 Alt. minds program 6/29/09 7/03/09 20892 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 222.25 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 4 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 18 -Jun 2009 Signature 222.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund