HomeMy WebLinkAbout220005 05/15/2013 CITY OF CARMEL, INDIANA VENDOR: 00353294 Page 1 of 1
ONE CIVIC SQUARE PETTY CASH
CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA-PARKS CHECK AMOUNT: $16,000.00
CARMEL IN 46032 CHECK NUMBER: 220005
CHECK DATE: 5/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
109 5023990 16, 000 . 00 PETTY CASH
I
Carmel ay
Parks&Recreation CHECK REQUEST
Date: May 10, 2013
Check payable to:
Name: Fifth Third Bank
Address:
City, State, Zip
Mail check to payee xxx Return check to requestor
Check Amount: $ 16,000.00 Date Required: 5/15/13
Check needed for: Increase in change fund for seasonal Waterpark operation
To be paid from:
PO#(if applicable)
Budget account-GL# 109-5023990
Budget Line Description MCC—Unappropriated Funds
Requested by(print): Audrey Kostrzewa
Requested by (signature):
Approved by (signature of Division Manager): _
on this date -5— O//3
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
Fifth Third Bank Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/10/13 CkRequest Increase in change fund for seasonal Waterpark operation $ 16,000.00
I
Total $ 16,000.00
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.
Fifth Third Bank Allowed 20
In Sum of$
$ 16,000.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
109 CkRequest 5023990 $ 16,000.00 i 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-May 2013
J - i
Signature
$ 16,000.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund