207938 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 365954 Page 1 of 1
ONE CIVIC SQUARE JENN KRISTUNAS
CARMEL, INDIANA 46032 11090 BROADWAY CHECK AMOUNT: $150.00
INDIANAPOLIS IN 46280 CHECK NUMBER: 207938
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341999 MAR'12 150.00 OTHER PROFESSIONAL FE
Carmel o Clay
Parks &Recreation CHECK REQUEST
p
Date: April 3, 2012 2012 D
Check payable to BY:
Name: Jenn Kristunas CCPR BOARD MEMBER
Address: 11090 Broadway
City, State, Zip Indianapolis, IN 46280
X Mail check to payee Return check to requestor
Check Amount 150.00 Date Required ASAP
Check needed for Monthly pay for meetings attended 3/19/12,3/27/12
2 Meeting(s) $75.00 each 150.00 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):
Approved by (signature of Division Manager):
on this date /3//
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.
365954 Kristunas, Jenn Terms
11090 Broadway
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
413112 Mar'12 Monthly pay for meetings attended 150.00
Total 150.00
1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer