HomeMy WebLinkAbout251439 11/17/15 0%' "�F� CITY OF CARMEL, INDIANA VENDOR: 00353333
`"; ONE CIVIC SQUARE JEAN BELCHER CHECK AMOUNT: $*******875.00*
r =�; CARMEL, INDIANA 46032 CHECK NUMBER: 251439
'M��ioN�' CHECK DATE: 11/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 875.00 OTHER PROFESSIONAL FE,
Jean A Belcher
1745 W 136th Street
Carmel IN 46032
INVOICE FOR PROFESSIONAL SERVICES
Date of invoice: November 12, 2015 Payroll 1523
Dates of service: Services performed: Hours Rate
November 10, 2015 Payroll processing 3.0 $100/hr
November 11, 2015 Payroll processing 3.0 $100/hr
November 12, 2015 Payroll processing 2.75 $100/hr
TOTAL HOURS BILLED ON THIS INVOICE 8.75
Total invoice: $875.00
I tF
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form 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.
II Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or MIN)
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.
ALLOWED 20
Nllw�
IN SUM OF $
W �3vh �+
Cv lel (�
ON ACCOUNT OF APPROPRIATION FOR
OVA�, W FUS
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT'
DEPT.# I hereby certify that the attached invoice(s),
5 U 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
Id 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund