241730 02/03/15 r Cqq
CITY OF CARMEL, INDIANA VENDOR: 361433
it ONE CIVIC SQUARE H R SPECIALISTS:EMPLOYMENT LAW CHECK AMOUNT: $.....**199.00*
4 i CARMEL, INDIANA 46032 Po Box 9070 CHECK NUMBER: 241730
MCLEAN VA 22102-0070 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4355200 SBQ4R04 199.00 SUBSCRIPTIONS
Continuation Notice
P.O.Box 9070•McLean,VA 22102-0070 R!0
Federal ID#27-0249238
Account#43461548
Notice#SBQ4R04
SBQ41104 Current fees issues paid through:61 1/15
YATL43461548 6/01/15 SBQ4R04
Please direct all inquiries to:
MS SUE WOLFGANG Customer Service Center
CITY OF CARMEL
1 Civic Sq P.O.Box 9070
Carmel,IN 46032-2584 McLean,VA 22102-0070
(800)543-2055
Customer@theHRSpecialist.com
�pectaiisc.�mpioyment[,aw TE-RA 1 Year AMOUNT DUE:$199-
HR
199HR SPECIALIST: EMPLOYMENTLAW $187
Shipping&Handling $12
BALANCE DUE $199
11�b1ii A ���
FEB 0 210A
Clerk Treasurer
SBQ4R04 ~~ Please retain this portion for your tax records.
®� Carm' el
INDIANA RETAIL TAX EXEMPT PAGE
Cloty CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT }
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
CLQ \. vl -o�y1 Liv✓ C �,1 �� �0� JJ��C• t�4 46\
\
VENDOR �� J SHIP l
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TO y1L
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
r_�_, �'L�,J 4_
F a)
07t
ep
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Send Invoice To-, t
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 316 6 5 VENDOR COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
HR Specialist: Employment Law
IN SUM OF$
PO Box 9070
McLean-, VA 22102-0070
$199.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31665 I SBQ4R04 I 43-552.00 I $199.00 1 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 I
i
received except
Monday, February 02, 2015
Director, HR
Title
1 �
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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 attached invoice(s)or bill(s))
02/02/15 SBQ4R04 . Employment Law $199.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer