250266 10/17/15 S' CITY OF CARMEL, INDIANA VENDOR: 00352957
® ONE CIVIC SQUARE HOPE HEALTH CHECK AMOUNT: $*****1,661.83*
CARMEL, INDIANA 46032 350 E.MICHIGAN AVENUE,SUITE 225 CHECK NUMBER: 250266
KALAMAZOO MI 49007-3853 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4345001 538946 1,661.83 INTERNAL MATERIALS
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ISE T Ail\ T- iS PORTION FOR YOUR, i?i'CORDS— -- – —
Exclusive Distributor--IHAC, INC
5937 West Main St.
H>�ALTH Kalamazoo, MI 49009-9101 -CIIeIlt:1'o:. - : Invoice'No:kR:O:Number.
Now thal:s am:uine'. 166655 538946
uantity �=ltem Item llescrip tion: ::. U/M� ��rice- „er;t tem= . Net,-Amatint.
550 819 Ho)c Health Calendar 2016 - Illo Ea. 2.580 1,419.00
1 Cover flap 69.000 69.00
1 Color change 99.000 99.00
UPS Ground & Handling 74.83
SubmittedTo
Cvlerkfrepsurer � .:
I
Invoice Subtotal 1,661.83
Tax Amount .00
Ship Barbara Lamb 1,661.83
Director of human Resources Invoice.' Total
To: Cit'of Cannel
One Civic Square
Carmel IN 46032
Thank you for your order! Please call 500-334-4094 if you have airy questions.
Be sure to see "141hat's New"at wivly.HupeHealth.corn
ONE NINIsr
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))
09/16/15 538946 2016 Calendars $1,661.83
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hope Health / IHAC
IN SUM OF $
350 East Michigan Ave., Ste. 225
Kalamazoo, MI 49007-3853
$1,661.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 538946 I 43-450.01 I $1,661.83 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
received except
Monday, October 05, 2015
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund