220144 05/21/2013 °�e•, CITY OF CARMEL, INDIANA VENDOR: 366409 Page 1 of 1
ONE CIVIC SQUARE ED FERRER
CARMEL, INDIANA 46032 CIO ESE CHECK AMOUNT: $175.00
CHECK NUMBER: 220144
CHECK DATE: 5121/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 753410 175 . 00 ADULT CONTRACTORS
Purchase
Description
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Purchase Date MAY 0 8 2013
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Approval
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KEEP THIS SLIP FOR REFERENCE
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Car-Mel ® Clay
Parks&Recreation CHECK REQUEST
Date: May 6, 2013 F!T V77ED
MAY 0 8 2013
Check Payable to: I_ Y:
Name: Ed Ferrer
Address: 3947 Jekyll Ct.
City, State, Zip Indianapolis, IN 46237
Mail check to payee _x_Return check to requestor
Check Amount: $ 175.00 Date Required: June 5, 2013
Check needed for: The Summer Experience Program Contractor
To be paid from:
PO#(if applicable)
Budget account-GL# 4340800 108 2-1 1,
Budget Line Description Program Contractor
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by (print): Dene se
Requested by(signature):
Approved by (signature of Divi oZLLager
on this date
Form revised 7-7-08 Shared/Forms/Business Services/Check Request Form/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.
366409 Ferrer, Ed Terms
3947 Jekyll Ct.
Indianapolis, IN 46237
Invoice Invoice Description PO # Amount
Date Number (or note attached invoice(s)or bill(s))
6/5/13 753410 Live Snake Presentation Carmel M.S. 6/5/13 $ 175.00
I
Total $ 175.00
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.
366409 Ferrer, Ed Allowed 20
3947 Jekyll Ct.
Indianapolis, IN 46237
In Sum of$
$ 175.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-12 753410 4340800 $ 175.00 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
16-May 2013
11&ekiz��
Signature
$ 175.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund