HomeMy WebLinkAbout215353 12/11/2012 �.f CITY OF CARMEL, INDIANA VENDOR: 366752 Page 1 of 1
` ONE CIVIC SQUARE ANNA KLINK CHECK AMOUNT: $300.00
` 1 CARMEL, INDIANA 46032 3807 CONSTITUTION DRIVE
CARMEL IN 46032 CHECK NUMBER: 215353
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 1/21/13 300 . 00 ADULT CONTRACTORS
invoice.docx Page 1 of 1
Purchase
Description y C�1 CI
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Anna Klink -wal —Date INVOICE
ICE
3807 Constitution Drive
Carmel, IN.46032
Phone 317.656.7352
Date sent: Nov. 26,2012
Date of Event:Jan 21 2012
o: For:
Carmel Clay Parks and Recreation Mohawk Trails(10-12pm)
okey Row(1-3 pm)
Service Hrs Rate Total
DJ Services 4 75/hr 300.00
TOTAL $300.00
Make all checks payable to Anna Klink
Thank you for your business!
A 10%charge will be added if payment is not received within thirty days as well as for every extra thirty days payment is
not received.
T ED
DEG 8 2912
file:///C:/Users/mstorms/AppData/Local/Microsoft/Windows/Temporary%20Internet%20... 11/26/2012
Carmel Clay
Parks&Recreation CHECK REQUEST
12 Cam-
Date: � (
DEC 3 2012
[BY:
Check Pavable to.
Name: lr
Address: 3262 l
City, State, Zip (o GdtYYiQ Fj�
Mail check to payee V Return check to requestor
Check Amount: $ Stb Date Required:
i Zi 13
Check needed for: V P,(►& J�
To be paid from:
PO#(if applicable)
Budget account- GL#
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Budget Line Description C6 � fCa m &n 4,a,,:L,
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): S-kffS
Requested by (signature): 1 i 2a 1 .Z
Approved by (signature of Division Manager):
on this date 113- )a
Form revised 1-21-08
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, Anna Terms
3807 Constitution Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/26/12 1/21/13 DJ Services MT SR 1/21/13 $ 300.00
Total $ 300.00
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, Anna Allowed 20
3807 Constitution Drive
Carmel, IN 46032
In Sum of$
$ 300.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 1/21/13 4340800 $ 300.00 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
6-Dec 2012
Signature
$ 300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund