HomeMy WebLinkAbout238579 10/28/14 +ur_C�q�
Jy �� CITY OF CARMEL, INDIANA VENDOR: 368350
® ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $*******280.50*
s•. ,�a. CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 238579
9,y�roN�� INDIANAPOLIS IN 46227 CHECK DATE: 10/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 10/17-10/24 280.50 OTHER PROFESSIONAL FE
Sadie Brock
Hours worked Friday October 17,2014:
Time in: 830
Time out: 345
TOTAL-TIME: 7.25
Hours worked Wednesday October 22, 2014:
Time in: 11 -- 15-
Time
out: _�%�" 1 ► �•
TOTALTIME: x$11.00/hr
Hours worked Thursday October 23, 2014:d
Time in: b 0
Time out: J
s .
Hours: 67�
Hours worked Friday October 24, 2014:
Time in:
Time out:
Hours:
TOTALTIME: �`�` ✓ x$11.00/hr Amou Due ��,
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US
Sadie M. Brock
Date: 10/24/2014
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER rrCity Fon 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
AW:,5v
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
VOUCHER NO. WARRANT NO.
j ALLOWED 20
IN SUM OF $
C). SD
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),
�0 �7" l� ��tRlrDf 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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20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund