218382 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 364660 Page 1 of 1
ONE CIVIC SQUARE KELLY DREW BASKETT
CARMEL, INDIANA 46032 400 EMERSON ROAD CHECK AMOUNT: $300.00
CARMEL IN 46032 CHECK NUMBER: 218382
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 300 . 00 ADULT CONTRACTORS
r ' Invoice
Kelly Drew Baskett
"Surround Yourself with Things You Love" DATE: MARCH 13, 2013
400 Emerson Road, Carmel, IN 46032
Phone 317-850-2682 Fax 317-575-9815
baskettmurals@sbcglobal.net
TO Carmel Clay Parks and Recreation Location: Smokey RovvL Elementary
"Spring Break Week" ESE CF �f ��
1235 Central Park Drive East MAR 14 2013
Carmel, IN 46032 j
B_Y-- -----__ --�J
QTY DESCRIPTION UNIT PRICE LINE TOTAL
Hours of Instructing It Coordinating a series 60.00 $300.00
5 of group projects for 100 students on April
1St, 2013. "Spring Break Week"
Purchase
Description e
P.O.A 31x7 P or F
G.L.#
Budget ?f o {rte•1
Line Descr
Purchaser
Approval Date 3��l i
$300.00
THANK YOU SO MUCH FOR INVITING ME TO TEACH AT YOUR SCHOOL CAMP AGAIN! PLEASE FEEL FREE
TO CONTACT ME ANYTIME........317-850-2682
i
Carmel @ Clay
Parks&Recreation- CHECK REQUEST
Date: [RK10;;�C TED
MAR 14 2013
Check payable to:
Name: Kelly Baskett -� - ---_- -
Address: 400 Emerson Road
City, State, Zip Carmel, IN 46032
Mail check to payee x Return check to requestor
Check Amount: $300 Date Required: 4/1/2013
Check needed for: Creating and 5 hour instructing on completion of sports mural.
To be paid from:
PO#(if applicable) F(DOO 0�'
Budget account-GL 434007
Budget Line Description Spring Break Vendor
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print): 1
c
Requested by(sig �.
Approved by(signature of Division Manager):
on this date 3- \--1-
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/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.
364660 Baskett, Kelly Drew Terms
400 Emerson Road
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/13/13 0 Spring Break projects 4/1/13 29498 $ 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.
364660 Baskett, Kelly Drew Allowed 20
400 Emerson Road
Carmel, IN 46032
In Sum of$
$ 300.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept#
1081-99 0 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
21-Mar 2013
1101 .
Signature
$ 300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund