HomeMy WebLinkAbout177418 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 354376 Page 1 of 1
i ONE CIVIC SQUARE TIMOTHY P TOLSON CHECK AMOUNT: $200.00
CARMEL, INt,ANA 46032 110 SHOSHONE DRIVE
CARMEL IN 46032 CHECK NUMBER: 177418
CHECK DATE: 9/15/2009
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1125 4341999 AUG09 200.00 OTHER PROFESSIONAL FE
r
-Carmel 0 Clay
Parks Recreation CHECK REQUEST
Date: 9/1/2009
Check payable to
Name: Timothy Tolson CCPR BOARD MEMBER
Address: 110 Shosone Drive
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount 200.00 Date Required: ASAP
Check needed for Monthly pay for meetings attended 8/11/09,8/13/09,8/25/09,8/27/09
4 Meeting(s) (d� 50.00 each 200.00 Aug 2009
To be paid from
PO (if applicable) N/A
Budget account GL 101 1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached. 7 SEP 0 1 2009
Requested by (print): Paula Schlemmer
Requested by (signature):
Ap b (signature of Division Manager):
pp Y 9 g
on this date _4
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 bilk 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.
354376 Tolson, Timothy Terms
110 Shosone Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
911109 Au '09 Park Board meeting attendance 200.00
Total 200.00
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.
354376 Tolson, Timothy Allowed 20
110 Shosone Drive
Carmel, IN 46032
In Sum of
200,.00
ON ACCOUNT OF APPROPRIATION FOR
u
101 -General Fund
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Aug'09 4341999 200.00 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
10 -Sep 2009
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund