HomeMy WebLinkAbout220528 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 364660 Page 1 of 1
ONE CIVIC SQUARE KELLY DREW BASKETT
CARMEL, INDIANA 46032 400 EMERSON ROAD CHECK AMOUNT: $200.00
' ? CARMEL IN 46032 CHECK NUMBER: 220528
CHECK DATE: 6/412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 200 . 00 ADULT CONTRACTORS
3 purchase Invoice
Description
P.O.#
G.L. ! ��--i�`
:J..1
PT. Budget �\ ,r �(1�A
Line Descx .1
�� �> Date`j —
Purchaser_— to
Approval
Kelly Drew Baskett
"Surround Yourself with Things You Love" DATE: MAY 6, 2013
400 Emerson Road, Carmel, IN 46032 �'F' � '�
Phone 317-850-2682 Fax 317-575-9815 MAY 0 8 2013
baskettmurals@sbcglobal.net
BY:
TO Carmel Clay Parks and Recreation Location: Carmel Middle School
"Summer Experience" ESE
1235 Central Park Drive East
Carmel, IN 46032
QTY DESCRIPTION UNIT PRICE LINE TOTAL
Hours of Instructing ft Coordinating a series
of group projects for 100-150 students on 50.00 $200.00
4 June 12th, 2013. Building elements as
theme.
$200.00
THANK YOU SO MUCH FOR INVITING ME TO TEACH AT YOUR SCHOOL CAMP AGAIN! PLEASE FEEL FREE
TO CONTACT ME ANYTIME........317-850-2682
Carmel ® Clay
Parks&Recreation CHECK REQUEST
Date: 5/6/2013
Check payable to:
EMAY ����D Name: Kellv Baskett 2013
Address: 400 Emerson Rd.
City, State, Zip Carmel, IN 46032
Mail check to payee _x_Return check to requestor
Check Amount: $ 200.00 Date Required: 6/12/2013
Check needed for: The Summer Experience Program Contractor
To be paid from:
PO#(if applicable)
Budget account-GL# 4340800 1082-1).—
Budget Line Description Program Contractor
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print): Dene zzo
Requested by(signature):
Approved by(signature of DiJ sio I nager):
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.
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
5/6/13 6/12 Program 6/12/13 $ 200.00
Total $ 200.00
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$
$ 200.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1082-12 6/12 4340800 $ 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
30-May 2013
Signature
$ 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund