HomeMy WebLinkAbout209053 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 364660 Page 1 of 1
ONE CIVIC SQUARE KELLY DREW BASKETT
CARMEL, INDIANA 46032 400 EMERSON ROAD CHECK AMOUNT: $357.50
CARMEL IN 46032
o CHECK NUMBER: 209053
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 5/10/12 357.50 ADULT CONTRACTORS
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Kelly. Drew Bask`ett
"Surround Your with Things You Love" DATE: MAY 10, 2012
400 Emerson Road, Carmel, IN 46032
Phone 317 850 -2682 Fax 317 575 -9815
baskettmurals@sbcglobal. net Purchase
Description
ZD
P.O. P
TO Carmel Clay Parks and Recreation U !1U
c/o Success on Stage Camp �:.;rget
1235 Central Park Drive East line Descr__. t` r' Cam`
Carmel, IN 46032 ��haser.__
P.F:n�ovai!^J- Date TI L I l Z--
QTY DESCRIPTION UN1T PRICE TQTAL
Hours of painting instruction and
2.5 coordination of large scale project on May $75.00 $187.50
29 at Woodbrook Elementry I
Hours of painting instruction and $75.00
2 coordination of large scale project on May $150.00
1
31', for backdrop for Annie j
I
i
I
i
$20.00
Supplies /brushes
I
i
$357.50
THANK YOU SO MUCH FOR INVITING ME TO TEACH AT YOUR SUMMER CAMP AGAIN! PLEASE FEEL FREE
TO CONTACT ME ANYTIME .317- 850 -2682
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Carmel. Clay
Parks &Recreation CHECK REQUEST
Date:
Check payable to
Name:
Address:
City, State, Zip l a r M �C: 1 V y C 3
Mail check to payee
lReturn check to requestor
Check Amount L Date Required 2 Z
Check needed for V U Tl Can)
AS S n
To be paid from
PO (if applicable) U o d'
Budget account GL
i
Budget Line Description r G
/nvoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print):
C._
Requested by (signature).
Approved by (signature of Division Manager):
on this dat 1
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.
364660 Baskett, Kelly Drew Terms
400 Emerson Road
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/10/12 5/10/12 Success on Stage painting instruction 5/29/12 30819 357.50
Total 357.50
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
Voucher No. Warrant No.
364660 Baskett, Kelly Drew Allowed 20
400 Emerson Road
Carmel, IN 46032
In Sum of
357.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1082 -6 5/10/12 4340800 357.50 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
17 -May 2012
Signature
357.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund