HomeMy WebLinkAbout213580 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 363112 Page 1 of 1
�t ONE CIVIC SQUARE TATYANA MUCHNIK
CARMEL, INDIANA 46032 10761 CORNERSTONE COURT CHECK AMOUNT: $275.00
INDIANAPOLIS IN 46280
CHECK NUMBER: 213580
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 275 . 00 ADULT CONTRACTORS
Tanya Muchnik RHY01C
10761 Cornerstone Court
Indianapolis IN, 46280 INVOICE#1
(317)815-1161 DATE: SEPTEMBER 19, 2012
TO: FOR:
Carmel Clay Parks and Recreation Forest Dale Elementary
ATTN: Ben Johnson Site Celebration
1411 E 116th St.
Carmel IN, 46033
(317) 573-5240
DESCRIPTION HOURS DATE AMOUNT
Face painting a Forest Dale Elementary Site Celebration from 6:00 to 8:00 2 9/19/12 $275.00
p.m. i
Purchase
Description
P.O.# Porgy
G.L.#
Budget
Line DeS f
Purchaser Date Z 12—
A prova Date 'Z� L
P
i
i
i
TOTAL $275.00
Make all checks payable to Tanya Muchnik
Total due in 15 days. Overdue accounts subject to a service charge of 1% per month.
Name: Date:
Thank you for your business!
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: 9/18/12
Check payable to:
Name: Tanya Muchnik
Address: 10761 Cornerstone Court
City, State, Zip Indianapolis, IN 46280
Mail check to payee x Return check to requestor
Check Amount: $275.00
Date Required: October 26th 2012
Check needed for: Site Celebration
Supporting documentation or receipt(s) MUST be attached.
To be paid from:
Fund 1081-4 Budget Line#
Budget Line Description Vendor Budget
Requested by(print): VaJeskaSimmonds
Requested by(signature): AAA" 01 �. Z� 12
Approved b nature of Division Manager):
pp Y si( 9
i
on this date
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.
363112 Muchnik, Tanya Terms
10761 Cornerstone Court
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/19/12 1 Face painting FD 10/26/12 31250 $ 275.00
Total $ 275.00
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.
363112 Muchnik, Tanya Allowed 20
10761 Cornerstone Court
Indianapolis, IN 46280
In Sum of$
$ 275.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 1 4340800 $ 275.00 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
4-Oct 2012
Signature
$ 275.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I