207936 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 364485 Page 1 of 1
ONE CIVIC SQUARE PAMELA S KNOWLES
CARMEL, INDIANA 46032 1519 COOL CREEK DRIVE CHECK AMOUNT: $75.00
CARMEL IN 46033 CHECK NUMBER: 207936
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAR'12 75.00 OTHER PROFESSIONAL FE
Carmel o Clay
Parks &Recreation CHECK REQUEST
Date: April 3 2012 A) 0 3 2012 0
Check payable to
Name: Pamela S. Knowles CCPR BOARD MEMBER
Address: 1519 Cool Creek Drive
City, State, Zip Carmel IN 46033
X Mail check to payee Return check to requestor
Check Amount 75.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 3/13/12
1 Meeting(s) (a $75.00 each $75.00 March 2012
To be paid from
PO (if applicable) N/A
Budget account GL 1125 -1 -01- 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): 1' L7(y /I�?/172y1i
Approved by (signature of Division Manager):
on this date
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 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
364485 Knowles, Pamela S.
1519 Cool Creek Drive
Carmel, IN 46033
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
75.00
4)3112 Mar'12 Monthly Pay for meetings attended
Total 75.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
364485 Knowles, Pamela S. Allowed 20
1519 Cool Creek Drive
Carmel, IN 46033
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. CCT #/TITL AMOUNT Board Members
Dept ept
1125 Mar'12 4341999 75.00 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 -Apr 2012
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund