HomeMy WebLinkAbout240239 12/16/14 y u' CITY OF CARMEL, INDIANA VENDOR: 368350
ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $********66.00*
CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 240239
INDIANAPOLIS IN 46227 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 121214 66.00 OTHER PROFESSIONAL FE
Sadie Brock
Hours worked December 12,2014:
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:
a ie M. Brock
Date: 12/12/14
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farts 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
1� �/�1 It U�►�— 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.
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ALLOWED 20
IN SUM OF $
$ Wo
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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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Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund