HomeMy WebLinkAbout207137 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 365954 Page 1 of 1
I Q� ONE CIVIC SQUARE JENN KRISTUNAS CHECK AMOUNT: $225.00
CARMEL, INDIANA 46032 11090 BROADWAY
INDIANAPOLIS IN 46280 CHECK NUMBER: 207137
CHECK DATE: 3/1312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 FEB'12 225.00 OTHER PROFESSIONAL FE
Carmel y
Parks &Recreation CHECK REQUEST
Date: 2/29/2012
Check payable to
Name: Jenn Kristunas CCPR BOARD MEMBER
Address: 11090 Broadwa
City, State, Zip Indianapolis, IN 46280
X Mail check to payee Return check to requestor
Check Amount $225.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 2/8/12,2114/12,2 /28/12
3 Meeting(s) 75.00 each 225.00 February 2012
To be paid from
PO (if applicable) N/A
Budget account GL 1125-1-01-4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
i
Requested by (print): Paula Sch
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
365954 Kristunas, Jenn Terms
11090 Broadway
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2129112 Feb'12 Monthly pay for meetings attended 225.00
Total 225.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.B
20_
Clerk- Treasurer
Voucher No. Warrant No.
365954 Kristunas, Jenn Allowed 20
11090 Broadway
Indianapolis, IN 46280
In Sum of$
225.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
P0# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Feb'12 4341999 225.00 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
8 -Mar 2012
A&ze'o�� I
Signature
225.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund