HomeMy WebLinkAbout252946 12/30/15 a W_5:!nti
CITY OF CARMEL, INDIANA VENDOR: 00353333
ONE CIVIC SQUARE JEAN BELCHER CHECK AMOUNT: $*****1,925.00*
;i ?a CARMEL, INDIANA 46032 1745 W 136TH ST CHECK NUMBER: 252946
CARMEL IN 46032 CHECK DATE: 12/30/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4340400 1,925.00 CONSULTING FEES
Jean A Belcher
1745 W 136th Street
Carmel IN 46032
INVOICE FOR PROFESSIONAL SERVICES
Date of invoice: December 30, 2015 Payroll 1526
Dates of service: Services'.erformed: Hours Rate
December 17, 2015 Payroll paperwork 2.0 $100/hr
December 20, 2015 Payroll paperwork 3.75 $100/hr
December 21, 2015 PR 1526 processing 3.0 $100/hr
December 22, 2015 PR 1526 processing 2.75 $100/hr
December 27, 2015 Payroll paperwork 3.75 $100/hr
December 28, 2015 Payroll paperwork 2.0 $100/hr
December 29, 2015 Payroll paperwork 2.0 $100/hr
TOTAL HOURS BILLED ON THIS INVOICE 19.25
i, Total invoice: $1925.00
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199!�
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
v^ Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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 $
ON ACCOUNT OF APPROPRIATION FOR
y Ai
Board Members
PO#or INVOICE NO. ACCT#/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
received except
,
20
Signature
Cost distribution ledger classification if ! Title
claim paid motor vehicle highway fund
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