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240495 12/23/14
`i,�'.cnq.M,� CITY OF CARMEL, INDIANA VENDOR: 368350 �!i _ ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $r**r r r r 156.75 4q: CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 240495 °M,��oN.�o. INDIANAPOLIS IN 46227 CHECK DATE: 12/23/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4341999 156.75 OTHER PROFESSIONAL FE Sadie Brock 12/16 Time in: 1:00 Time out: _3;30 I �� TOTAL TIME: 2.50 TOTAL 2.50 x$11.00/hr Amount Due 27.50 12/17 Time in: 12:00 Time out: 4:00 TOTAL TIME: 4.0 TOTAL 4 x$11.00/hr Amount Due 44.00 12/19 Time in: Time Out: :00 Total Time: Total this Invoice: Sadie M. rock Date: 12/19/14 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.199 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 rached invo'ce(s) or bill(s)) (5 6175 Total 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 20Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 'A-Ivo 24�2-Dck-- IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR -?r4- Board Members PO#DEPT. INVOICE NO. ACCT#/TITLE AMOUNT j oePT# I hereby certify that the attached invoice(s), q©l f -74 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 r " 20 Signatur Title Cost distribution ledger classification if claim paid motor vehicle highway fund