HomeMy WebLinkAbout178290 10/14/2009 e,, CITY OF CARMEL, INDIANA VENDOR: 355613 Page 1 of 7
ONE CIVIC SQUARE JOE MILLER
CARMEL, INDIANA 46032 13607 THISTLEWOOD DRIVE E CHECK AMOUNT: $100.00
CARMEL IN 46032
CHECK NUMBER: 178290
CHECK DATE: 1011412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 100.00 OTHER PROFESSIONAL FE
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Carmel e Clay
Parks& Recreation CHECK REQUEST
Date: 10/5/2009
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 requestor
Check Amount 100.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 9110109 9122109
2 Meeting(s) Ca) $50.00 each 100.00 Sept. 2009
To be paid from
PO (if applicable) NIA
Budget account GL 101-11254341999
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 off Division Manager):
on this date /L /V
Form revised 7 -7 -08 Shared Administrative 1 Forms Staff forms 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.
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
10/5109 Se '09 Park Board meeting attendance 100.00
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- 1C -1.6
,20
Clerk- Treasurer
S
r
Voucher No. Warrant No.
355613 Miller, ,toe Allowed 20
13607 Thistlewood Dr. E
Carmel, IN 46032
In Sum of
r�
100.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. kCCT WTITLE AMOUNT Board Members
Dept
1125 Se '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
7 -Oct 2009
G
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund