HomeMy WebLinkAbout235067 07/22/14 y o'..c�A,, CITY OF CARMEL, INDIANA VENDOR: 368350
ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $*******407.00*
s/ ?� CARMEL, INDIANA 46032 INDIANAPOLIS369 DECLARATION
ECLARA IIONG2RIVE CHECK NUMBER: 235067
,,,�TaN CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 407.00 OTHER PROFESSIONAL FE
L
Invoice : 201403
Date:
Hours worked from June 30 thru July 9, 2014- 37.00
@ $11.00
Total Amount Due: 407.00
,y
Sadie M. Brock
Brock,Sadie
Time In Lunch Time Out Total Hours
Monday,July 14 2014 10:00 4:00 6.0
Tuesday,July 15 2014 8:15 4:00 7.75
Wednesday,July 16, 8:15 4:00 7.75
2014
Thursday,July 17, 8:15 4:00 7.75
2014
Friday,July 18, 2014 8:15 4:00 7.75
Total Hours 37.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payees I/
U'_ Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Sk? ALLOWED 20
IN SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
I
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT ; I hereby certify that the attached invoice(s),
I 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
12 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund