HomeMy WebLinkAbout215770 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366722 Page 1 of 1
1 � ONE CIVIC SQUARE ANNIE L.SMITH
CARMEL, INDIANA 46032 5345 MARK LANE CHECK AMOUNT: $200.00
INDIANAPOLIS IN 46226 CHECK NUMBER: 215770
CHECK DATE: 12118/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 11/29 200 . 00 EXTERNAL INSTRUCT FEE
Annie L. Smith CTF 5
5345 Mark Lane DEC 12 2012
Indianapolis, Indiana 46226 By.
(317) 547-3858
annielsmith220(@gmail.com
I N V O I C E
To: Carmel Clay Parks & Recreation
Extended School Enrichment & Pumhass
Summer Camp Series Description
1235 Central Park Drive East p.o. ' 1 I p r F
Carmel, IN 46032 G.L.# I OX - �1~� `I 3
Budget C
Line '= CX `=`c
Attention: Ben Johnson, Manager
Purchaser Lc Date IZ-10- I L.
Date: November 29, 2012 Approval Date 4P—I`)--
Re: Diversity/Cultural Awareness ti. ()o C) I
DESCRIPTION �I COST
Work: 2 hour Training session, preparation, facilitation and materials $200.00
for Diversity/Cultural Awareness workshop held on Thursday,
November 29, 2012; 6:30 — 8:30p.m.
TOTAL DUE: $200.00
Date: 11-29-112 an",
Signature:
Social Security No: 315-54-6403
"j �
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.
366722 Smith, Annie L. Terms
5345 Mark Lane
Indianapolis, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/29/12 11/29 Training 11/29/12 29118 $ 200.00
Total $ 200.00
I 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.
366722 Smith, Annie L. Allowed 20
5345 Mark Lane
Indianapolis, IN 46226
In Sum of$
$ 200.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1081-99 11/29 4357004 $ 200.00 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
13-Dec 2012
I Signature
$ 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund