HomeMy WebLinkAbout239130 11/11/14 y u�.C�Ab
! \ CITY OF CARMEL, INDIANA VENDOR: 368350
ij ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $**'**"•156.75"
r. =a CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 239130
��'lioii.�o` INDIANAPOLIS IN 46227 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 10/31-11/7 156.75 OTHER PROFESSIONAL FE
Sadie Brock
Hours worked Friday October 31, 2014:
Time in: 9:30
Time out: 4:00
TOTAL TIME: 6.5
TOTAL TIME: _6.5 x$11.00/hr Amount Due-71.50
Hours worked Friday November 7,2014:
Time in:
Time out: '"C i Vo
TOTAL TIME: /a 15
TOTALTIME: x$11.00/hr Amount Due 1 �w -15
Total this Invoice:
Sadie M. Brock
Date: 11/7/14
i
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Pay��eepp�
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number -(or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
-� IN SUM OF$
$
ON ACCOUNT OF APPROPRIATION FOR
PYS 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
I�
F+
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund