HomeMy WebLinkAbout210419 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 357100 Page 1 of 1
ONE CIVIC SQUARE INDY PARKS EE OUTREACH CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 6057 DELONG ROAD
INDIANAPOLIS IN 46254 CHECK NUMBER: 210419
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 7/27 200.00 ADULT CONTRACTORS
Indy Parks
Environmental Education Outreach Program as
6057 DeLong Rd
Purchase 1
Indianapolis, IN 46254 n
Description
P0
Phone: 317- 327 -6769 P.O.
Fax: 317-327-0235 G
.L.
Budget
6 l
Line Descr�' Date
michele.conyer @indy.gov Purchaser Y
Date -V_V)
Approval
Recipient of Outreach Program:
Carmel Clay Parks Recreation 0 3
West Clay Elementary School L)
3495 W 126th Street i
Carmel, IN 46032 C �5
Contact Name and Phone Number
Jennifer Hammons
698 -4966
Date Description of Program Location Number of Groups /Students
7 -27 -12 1/2 day Environmental Education Class- Orchard Park
room Elem School
7 -27 -12 1/2 day Environmental Education Class- Creekside Mid
room dle School
Total due 200.00
Make Checks Payable to: Mail To:
Indy Parks Indy Parks EE Outreach
6057 DeLong Rd
Indianapolis IN, 46254
Employee signature: Date:
Carmel ®Clay
Parks &Recreation CHECK REQUEST
Date: 4 a D
Check payable to CC l
Name: I M u o kS
Address: (c• C� 5� Gd�e� C�
City, State, Zip 1 �'1 L1 c;,�1 CG�i S 1 �tf 'o� T
Mail check to payee Return check to requestor
o0
Check Amount Date Required I U Y a
Check needed for C fNAo r TU r S C Noa PC_\\Gc(3-
cy� C c e e-\(- a, c CN-\ SA c.A 0�(1
To be paid from
PO (if applicable)
lU
Budget account GL 3 Q g 00 k oc cic('Q S' cC VC�c S-hA) (U
Budget Line Description \1 Q�6 Or
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): C' T\f moT S
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 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.
Indy Parks Terms
Indy Parks EE Outreach
6057 DeLong Rd
Indianapolis, IN 46254
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/27/12 7/27 Field trip 7/27/12 100.00
7/27/12 7/27 Field trip 7/27/12 100.00
Total 200.00
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.
Indy Parks Allowed 20
Indy Parks EE Outreach
6057 DeLong Rd
Indianapolis, IN 46254 In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 7/27 4340800 100.00 1 hereby certify that the attached invoice(s), or
1082 -2 7/27 4340800 100.00 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
28 -Jun 2012
��.G) Domvyice� c.,
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund