HomeMy WebLinkAbout240892 01/12/15 �CSA F
CITY OF CARMEL, INDIANA VENDOR: 368350
d ONE CIVIC SQUARE SADIE M BROCK CHECK AMOUNT: $**.....231.00'
r CARMEL, INDIANA 46032 4369 DECLARATION DRIVE CHECK NUMBER: 240892
9" .tHao INDIANAPOLIS IN 46227 CHECK DATE: 01/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 12/29-12/31 231.00 OTHER PROFESSIONAL FE
Sadie Brock
12/29/2014
Time in: 8:45
Time out: 4:00
TOTAL TIME: 7.25
TOTAL 7.25 x$11.00/hr Amount Due 79.75
12/30/2014
Time in: 8:45
Time out: 4:00
TOTAL TIME: 7.25
TOTAL 7.25 x$11.00/hr Amount Due 79.75
12/31/2014
Time in: 8:45
Time Out: 3:15
Total Time: 6.50
TOTAL 6.50 x$11.00/hr Amount Due 71.50
I
Total this Invoice: 231.00
L�
Sadie M. Brock
Date: 1/5/2015
,
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER a
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
r
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I
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
ft
a" VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
,7R' �•;fN��i
g" ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACC /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
r 21! w
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,v received except
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f,
20
�xrta'. Signatur
Title
;,• : f a distribution ledger classification if
paid motor vehicle highway fund