HomeMy WebLinkAbout239481 11/25/2014 i C�gMf
" ",� CITY OF CARMEL, INDIANA VENDOR: 368350
} ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $*******170.50*
i+ ,ate; CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 239481
+y�;,.... INDIANAPOLIS IN 46227 CHECK DATE: 11/25/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4350900 170.50 11/14-11/21
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i
Sadie Brock
Hours worked November 14, 2014:
Time in: 8:00
Time out: 4:00
TOTAL TIME: - - 8.00
TOTAL TIME: _8.00 x$11.00/hr Amount Due_88.00
Hours worked Friday November 21, 2014:
Time in: 830
Time out: 400
TOTAL TIME: _7.5
TOTAL TIME: 7.5 x$11.00/hr Amount Due 82.50
Total this Invoice:
Sadie M. Br
Date: 11/21/14
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.
Payee
Sa
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
l
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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund