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HomeMy WebLinkAbout173456 06/10/2009 CITY ©F CARMEL, INDIANA VENDOR: 355613 Page 1 of 1 ONE CIVIC SQUARE JOE MILLER CARMEL, INDIANA 46032 13607 THISTLEWOOD DRIVE E CHECK AMOUNT: $250.00 CARMEL iN 46032 CHECK NUMBER: 173456 CHECK DATE: 6/10/2009 DEPARTMENT ACCOUNT PO NUMBE INVOICE NU MBER AMOUNT DESCRIPTION 1125 4341999 MAY 09 250.00 OTHER PROFESSIONAL FE ,.I v Carrel o Clay Parks &Recreation CHECK REQUEST Date: 6/1/2009 JUN 0 1 1009 DY: A 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 250.00 Date Required ASAP Check needed for Monthly pay for meetings attended 5/5/09.5/12/09,5/14/09,5/20/09, 5/26/09 5 Meeting(s) an $50.00 each $250.00 May 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): Approved by (signature of Division Manager): on this date �Z/ X Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL L 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 x 13607 Thistlewood Dr. E Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 611109 Ma '09 Park Board meeting attendance 250.00 Total 250.00 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 1 20 Clerk- Treasurer a Voucher No. Warrant No. 355613 Miller, Joe Allowed 20 13607 Thistlewood Dr. E Carmel, IN 46032 In Sum of 250.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #FrITLE AMOUNT Board Members Dept 1125 Ma '09 4341999 250.00 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 4 -Jun 2009 Signature 250.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund