HomeMy WebLinkAbout230245 03/18/14 (9, )
CITY OF CARMEL, INDIANA VENDOR: 368054
ONE CIVIC SQUARE SAMANTHA SHEEKS CHECK AMOUNT: S".....423.00*
CARMEL, INDIANA 46032 1777 EAGLE TRACE DR CHECK NUMBER: 230245
GREENWOOD IN 46143 CHECK DATE: 03/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 423.00 OTHER PROFESSIONAL FE
Pay Period Beginning and End Date
/ to 1
Last Name Job Title_
First Name Employee ID
I hereby certify that the time recorded represents actual hours of employment for the period indicated.
Employee Signatur '
Project Name
Date In Out In Out In Out TOTAL
Monday 3 /10 -15,4w 1_ l"5_&4 z---PwL -7
Tuesday i I.Z, ® 1 : vU
Wednesday % '2 7: Z ''5--
Thursday Thursday
Friday
Saturday
Sunday
Total Hours Worked for Pay Period
Supervisor Signature Date `U
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.7995)
CITY OF CARMEL
An invoice or 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.
�I/� Payee
1�S Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bil s))
IL
r co X= GLA E
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
P
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
20
dit
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund