HomeMy WebLinkAbout252486 12/15/15 _,�,�,F�q yFi.
CITY OF CARMEL, INDIANA VENDOR: 00353333
ONE CIVIC SQUARE JEAN BELCHER CHECK AMOUNT: $****"1,600.00'
,�� ® is CARMEL, INDIANA 46032 1745 W 136TH ST CHECK NUMBER: 252486
��,__._i r, CARMEL IN 46032 CHECK DATE: 12/15/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 1525 1,600.00 OTHER PROFESSIONAL FE
Jean A Belcher
1745 W 136th Street
Carmel IN 46032
INVOICE FOR PROFESSIONAL SERVICES
Date of invoice: December 14, 2015 Payroll 1525
Dates of service: Services performed: Hours Rate
November 30, 2015 Payroll paperwork 2.0 $100/hr
December 1, 2015 Payroll paperwork 1.25 $100/hr
December 8, 2015 PR 1525 processing 4.5 $100/hr
December 9, 2015 PR 1525 processing 3.0 $100/hr
December 10, 2015 PR 1525.processing 3.0 $100/hr
December 14, 2015 Payroll reports 2.25 $100/hr
TOTAL HOURS BILLED ON THIS INVOICE 16.0
Total invoice: $1,600.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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.
Payee/
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
l
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
IN SUM OF $
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D
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or DPT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s),
l �} �(Da0_ 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
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N
i
A
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund