207525 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 364270 Page 1 of 1
ONE CIVIC SQUARE ANNA LENO CHECK AMOUNT: $325.00
�+a CARMEL, INDIANA 46032 2109 N ROSEWOOD AVE
:o MUNCIE IN 47304 CHECK NUMBER: 207525
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 325.00 ADULT CONTRACTORS
invoice.docx Page 1 of 1
Purchase
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Purchaser
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A nna Leno INVOICE
2109 N. Rosewood Ave
Muncie, IN. 47304
Phone 317.656.7352
Date sent: March. 6, 201
Date of Event: March 30 201
o: For:
armel Clay Parks and Recreation College Wood 10am -12pm
1235 Central Park Drive East Cherry Tree 2 -4pm
rmel IN. 46032
Service Hrs Rate Total
DJ Services 4 fixed 325.00
TOTAL $325.00
Make all checks payable to Anna Leno
Thank you for your business!
A 10% chavge will be added if payment is not received within thirty days as well as for every extra thirty days payment is
not received.
file://C:Tocuments and Settings\iugregory \Local Settings \Temporary Internet Files \Content... 3/7/2012
Carmel c. Clay
Parks &Recreation CHECK REQUEST
Date:
Check payable to LName: hhlA. L1iL
Address: I D N n,O W 00 A tz
City, State, Zip �I y h I'e' Z N a g 7 3 o q
Mail check to payee Z Return check to requestor
Check Amount S o Date Required '3 3 o �d
Check needed for E y&n D SWVt(, S 50
L_
To be paid from q
PO (if applicable) O 0 0 dL U
Budget account GL 0 g 0 d
Budget Line Description �1ra�) coL% �Vtll�kIj
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): 0� CjY� ajA �Z
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -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.
364270 Leno, Anna Terms
2109 N. Rosewood Ave
Muncie, IN 47304
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/6/12 3/30/12 DJ Services CW, CT 3/30/12 30546 325.00
Total 325.00
I 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.
364270 Leno, Anna Allowed 20
2109 N. Rosewood Ave
Muncie, IN 47304
In Sum of
325.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1081 -99 3/30/12 4340800 325.00 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
12 -Mar 2012
Signature
325.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund