HomeMy WebLinkAbout209795 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366297 Page 1 of 1
ONE CIVIC SQUARE JASON KLINK
CARMEL, INDIANA 46032 2109 N ROSEWOOD AVENUE CHECK AMOUNT: $225.00
MUNCIE IN 47304 CHECK NUMBER: 209795
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 7/2/12 225.00 ADULT CONTRACTORS
C`
a Ledo -'9ze' cw INV ®ICE
2109 N. Rosewood Ave
Muncie, IN. 47304
Phone 317.656.7352
Date sent: May 3, 201
Date of Event: JuIX 2, 201
17 0: Lei
rmel Clay Parks and Recreation Middle School 12 -3
Service Hm Rate Total
DJ Services 3 75 /hr 225.00
TOTAL $225.00
Make all checks payable to Jason Klink
A 10 char e will be added if payment is not received within thirty days as well as for every extra thirty days paymen is not received.
Purchase
Description F
P.O.
`III
G.L. l I
JUN 0 12012 Budget
Line �escr
-�.J Z ZQ Date
A D
Purchaser
Arnr-val
,armel •Cla
Parks &Recreation CHECK REQUEST
CE-j�TED
Date: May 11, 2012 JUN 0 1 2012
Bar
Check payable to
Name:
Address: 2109 N. Rosewood Ave.
City, State, Zip Muncie, IN 47304
Mail check to payee _x_ Return check to requestor
Check Amount 225 Date Required July 2, 2012
Check needed for Carmel Vacation Station Vendor
To be paid from
PO (if applicable)
Budget account GL 4340800 1082 -1
Budget Line Description Vendor
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Deneyse Solazzo
Requested by (signature):
Approved by (signature of Division Manager):
on this date ��f
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.
Klink, Jason Terms
2109 N Rosewood Ave
Muncie, IN 47304
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/3/12 7/2/12 DJ Services 225.00
Total 225.00
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.
Klink, Jason Allowed 20
2109 N Rosewood Ave
Muncie, IN 47304
In Sum of
225.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 7/2/12 4340800 225.00 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
14 -Jun
Signature
225.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund