178387 10/14/2009 CITY OF CARMEL INDIANA VENDOR: 363423 Page 1 of 1
ONE CIVIC SQUARE ANNA SHUMWAY
CARMEL, INDIANA 46032 10571 CHATHAM CT CHECK AMOUNT: $500.00
CARMEL IN 46032
�o CHECK NUMBER: 178387
CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350900 AUG 09 500.00 OTHER CONT SERVICES
Anna Chath am Ct
10571 Chatham Ct.
Carmel, IN 46032
317.848.4412
DATE: SEPTEMBER 15, 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)
August Billing $500 $500
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 l
Description
P.O.
O.L A
Budget
Line Descr
95 109
Purchaser (Data 3/�
Approv Date C
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.
Shumway, Anna Terms
10571 Chatham Ct
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/15/09 Au '09 Internship 22636 500.00
Total 500.00
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.
Shumway, Anna Allowed 20
10571 Chatham Ct
Carmel, IN 46032
In Sum of
f( 500.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
22636 Au '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
7 -Oct 2009
Signature
Is 500.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund