HomeMy WebLinkAbout179326 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 355613 Page 1 of 1
ONE CIVIC SQUARE JOE MILLER
CARMEL, INDIANA 46032 13607 THISTLEWOOD DRIVE E CHECK AMOUNT: $150.00
CARMEL IN 46032
G CHECK NUMBER: 179326
CHECK DATE: 11/1112009
DE PARTMENT AC PO NUMBE INVOIC NUMBER AMOUNT DESCRIPTION
1125 4341999 10/09 150.00 PARK BOARD
Ny` h
Carmelo Clay
Parks &Recreation CHECK REQUEST
Date: 11/3/2009 NOV 0 3 2009
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 requester
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 10113/09,10122109 10/27/09
3 Meeting(s) 0) 50.00 each $150.00 October /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.
Requested by (print): Paula Schlemmer
Requested by (signature):
re of /vision Manager):
Approved by (signature
on this date
Form revised 7 -7 -08 Shared 1 Administrative I Forms Staff forms I Check Request (rev 7 -7 -08)
V
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.
355613 Miller, Joe Terms
13607 Thistlewood Dr. E
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1113109 Oct'09 Park Board meeting attendance 150.00
Total 150.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
355613 Miller, Joe Allowed 20
13607 Thistlewood Dr. E
Carmel, IN 46032
In Sum of
s
150.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Oct'09 4341999 150.00 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
5 -Nov 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund