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HomeMy WebLinkAbout208679 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00351591 Page 1 of 1 ONE CIVIC SQUARE FIFTH THIRD BANK CARMEL, INDIANA 46032 CHECK AMOUNT: $15,000.00 CHECK NUMBER: 208679 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 109 5023990 15,000.00 CHANGE FUND Carm Clay Parks &Recreation CHECK REQUEST Date: 4 -30 -12 MA ,I 0 1. 7 Check payable to Name: Fifth Third Bank Address: City, State, Zip Mail check to payee XX Return check to requester Check Amount 15,000.00 Date Required May 10, 2012 Check needed for Increase in change fund on -hand for seasonal Waterpak operation To be paid from PO (if applicable) Budget account GL 109 —5023990 Budget Line Description MCC Unappropriated Funds Invoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): Audrev Kostrzewa Requested by (signature): Appr e gnature of Director or Asst. Director): on this date Form revised 7 -7 -08 Shared Forms Business Services Check Request Form 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. Fifth Third Bank Terms 99 East Carmel Drive Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/30/12 Ck Request Increase in change fund on hand for 15,000.00 seasonal Waterpark operation Total 15,000.00 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 20_ Clerk- Treasurer Voucher No. Warrant No. Fifth Third Bank Allowed 20 99 East Carmel Drive Carmel, IN 46032 In Sum of 00.00 7PRIATION FOR P� tter .,cpt INVOICE NO. ACCT#fTITLE AMOUNT Board Members 109 Ck Request 5023990 15,000.00 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 3 -May 2012 IV ITI Signature 15,000.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund