HomeMy WebLinkAbout237791 10/08/14 _ I
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CITY OF CARMEL, INDIANA VENDOR: 368350
tl ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $********77.00*
CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 237791
TON.�o INDIANAPOLIS IN 46227 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 I 434199.9 77.00 OTHER PROFESSIONAL FE
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Sadie Brock
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Hours worked Friday October 3, 2014:
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Time in:
Time out: 3 " J
TOTAL TIME: LAD x$11.00/hr
Amount Due: "
Sadie M. Broc
Date: 10/03/2014 _
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Prescribed by State Board of Accounts City Fonn No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whoa, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
(S!' &kl/'`� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
PpnA LP
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Total
1'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 $
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
l 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
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Signatur
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund