HomeMy WebLinkAbout237612 09/30/14 *f CITY OF CARMEL, INDIANA VENDOR: 368350
�I ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $""•""'"74.25•
:. CARMEL INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 237612
+` �r INDIANAPOLIS IN 46227
CHECK DATE: 09/30/14
,ETON�°.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 092614 74.25 OTHER PROFESSIONAL FE
Sadie Brock
Hours worked Friday September 26, 2014:
Time in: 9::00
Time out: )'
TOTAL TIME: x$11.00/hr
Amount Due:
Sadie M. Brock
Date: 9/26/2014
r
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City FormNo.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.
Payee
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.
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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund