178867 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 363423 Page 1 of 1
ONE CIVIC SQUARE ANNA SHUMWAY CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 10571 CHATHAM CT
CARMEL IN 46032 CHECK NUMBER: 178867
CHECK DATE: 10/28/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NU AMO DESCRIPTION
1125 4350900 22636 SEP 09 500.00 INTERN
Anna Chathay am Ct.
10571 RNWORCIE
Chatham ��f��JJ l�
Carmel, IN 46032
317.848.4412
DATE: OCTOBER 2, 2009
TO: FOR:
THE MONON CENTER Internship
Carmel Clay Parks and Recreation Independent Contractor Service Agreement
1235 Central Park Drive East
Carmel, Indiana 46032
Phone 317.573.5238 Fax 317.573.5254
DESCRIPTION RATE AMOUNT
Internship (Fall 2009)
September Billing $500 $500
0 c .T 7 2009
Total $500.00
I understand that this contract may be verbally terminated for any reason at any time.
I also understand that I am deemed as an independent contractor and am not considered an employee of CCPR.
In any case of discrepancy or if I have any questions, I will notify the Recreation Manager, Tess Pinter.
Purchase 1 t'1 r Y�S� �p
Description
P.O.# ddlP P r yCS C G.L. C n
Budget
Line Descr
Purchaser SY1�1nlfNC1(�
Approval �1?rl`4�t' Date lh QUO
ACCOUNTS PAYABLE VOUCHER
r 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
j Purchase Order No.
Shumway, Anna
10571 Chatham Ct Terms
Carmel, IN 46032
Invoice Invoice
Date Number Description
(or note attached invoice(s) or bill(s)) PO
10/2/09 Se '09 Internshi Se '09 Amount
22636 500.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance 500.00
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
Shumway, Anna Allowed 20
10571 Chatham Ct
Carmel, IN 46032
In Sum of
�r
500.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members
Dept
22636 Se '09 4350900 500.00 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
22 -Oct 2009
Signature
500.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund