HomeMy WebLinkAbout173441 06/10/2009 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: 173441
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CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1046 4340800 1 222.25 ADULT CONTRACTORS
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Parks Recreation CHECK REQUEST
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To be paid from
PO (if applicable)
Budget account GL
Budget Line Description 3 Q C7 P� o or� a
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): I V_Ir\o -C 'e kC MOMS
Requested by (signature):
Approved by (signature of Division Manager):
on this date Z 0 C� j
Form revised 1 -21 -08
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Patrick Mautner INVOICE
10203 Parkshore Drive
Fishers, IN 46038
INVOICE #001
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 1 -5
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.
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 1 Alt. minds program 6/1/09 6/5/09 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.
Mautner, Patrick Allowed 20
10203 Parkshore Drive
Fishers, IN 46038
In Sum of
1
222.25
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 1 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
4 -Jun 2009
Signature
222.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund