HomeMy WebLinkAbout239918 12/09/2014 r Cqq F
CITY OF CARMEL, INDIANA VENDOR: 368350
ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $ ....*'66.00*
f ?a CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 239918
INDIANAPOLIS IN 46227 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4350900 66.00 OTHER CONT SERVICES
Sadie Brock
Hours worked December 5, 2014:
Time in: 10:00
Time out: 4:00
TOTAL TIME: 6.00
TOTAL TIME: _6.00 x$11.00/hr Amount Due_66.00
Total this Invoice: $66.00
t
Sadie M. Brock
Date: 12/5/14
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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.
ayee
v� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached i oice(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
�7W 5M OfhiA, �no-
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
yj 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund