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