HomeMy WebLinkAbout234196 06/30/14 +or,Cly*
CITY OF CARMEL, INDIANA VENDOR: 368350
J;/ i. ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $*""""537.00'
,_� CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 234196
M��iUN�, INDIANAPOLIS IN 46227 CHECK DATE: 06/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 6/20-6/30 537.00 OTHER PROFESSIONAL FE
SADIE M BROOK
Invoice : 201401
Date:
Hours worked from June 20 thru , 2014-
- @ $12.00
Total Amount Due: 3 6D
Brock,Sadie
Time In Lunch Time Out Total Hours
Friday,June 20,
2014 �
Monday,June 23,
2014 T-7_5
Tuesday,June 24,
2014 �-
Wednesday,June ////
-- - _T 24, 2014,------- —— - 75 —
Thursday,June 24,
2014 ,
Friday,June 25,
2014 • �� -1 6D 7. 7S7
Monday,June 30,
2014
Tuesday,July 1,
2014
Wednesday,July 2,
2014
Total Hours -1q �y�
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.199
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.
{Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
C
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
bf(��
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
?id'�1d of 537—" .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
i
i
20
Signat e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund