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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