HomeMy WebLinkAbout180194 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 355613 Page 1 of 1
ONE CIVIC SQUARE JOE MILLER
CHECK AMOUNT: $100.00
Y �a CARMEL, INDIANA 46032 13607 THISTLEWOOD DRIVE E
ah �o CARMEL IN 46032 CHECK NUMBER: 180194
CHECK DATE: 12/812009
i
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 NOV 09 100.00 OTHER PROFESSIONAL FE
I
Car e clay
Parks &Recreation CHECK REQUEST
Date: 11/30/09 g
NOV 3 0 2009 jt
Check payable to
Name: Joe Miller CCPR BOARD MEMBER
Address: 13607 Thistlewood Dr. E.
City, State, Zip Carmel IN 46032
X Mail check to payee Return check to requestor
Check Amount 100.00 Date Required ASAP
Check needed for Monthly a for meetings attended 11/10/09 11/24/09
2 Meetings) $50.00 each 100.00 November 2009
To be paid from
PO (if applicable) NIA
Budget account GL 101- 1125- 4341999
Budget Line Description Other Professional Fees
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Paula Schlemmer
Requested by (signature):
Approved by (signature of Division Manager):
on this date 1 �D Zc! �)o
Form revised 7 -7 -08 Shared I Administrative I Forms I Staff forms I 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.
Terms
355613 Miller, ,Joe
13607 Thistlewood Dr. E
Carmel, IN 46032
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
100.00
11130109 Nov'09 Park Board meeting attendance
Total 100.00
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,
355613 Miller, Joe Allowed 20
13607 Thistlewood Dr. E
Carmel, IN 46032
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #rTITLE AMOUNT Board Members
Dept
1125 Nov'09 4341999 100.00 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
3-Dec 2009
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund