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HomeMy WebLinkAbout303230 09/22/16 CITY OF CARMEL, INDIANA VENDOR: 180865 jl ONE CIVIC SQUARE BARBARA LAMB CHECK AMOUNT: $*******400.00* r. q CARMEL, INDIANA 46032 C/O HUMAN RESOURCES CHECK NUMBER: 303230 CARMEL IN 46032 CHECK DATE: 09/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 17 400.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) BARBARA LAMB ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O HUMAN RESOURCES IN Bunn OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $400.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 301 Medical Fund Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board-Members .DEPT-# - FUND# . (or note attached invoice(s)or bill(s))_ AMOUNT 17 50-239.90 $400.00 1 hereby certify that the attached invoice(s),or 9/4/16 17 Reimburse pymt Carmel Ballroom Dancing $400.00 301 301 301 301 Studio-wellness activity 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 Tuesday, September 20,2016 y� 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 Cost distribution Iedger.classification if claim paid motor vehicle highway fund. Clerk-Treasurer 10 . MA Dear City of Carmel, . . Thank you.for your purchase. Below is your purchase receipt;,please keep a copy for your records._ Sale Date: 9/19/2016=.4:29 PM Sale ID: 928: . Sold By:. .. . . Martin,Tracy.' 1 Private Lesson $100.00- 1: Private Lesson $100.00 1,. Private.Lesson $100.00. 1. Private Lesson. : $100:00 Subtotal: $400.00 . Tax: $0'.00 Total: $400.00 Payment Method Amount. Check' $400.00 We appreciate your business! Please retain this receipt for your.records.Thank you! . . If you have any additional questions,then please feel free to contact us using the:email or phone number listed-below: Thank you! The Carmel:Ballroom Dance Studio Team Web: http://6armelballroomdance.com Phone: (317) 850-8912 Carmel Ballroom Dance Studio 111 Medical Drive Carmel, In 46032 317-850-8912 E I N—46-2166399 INVOICE #17 Date: 09-04-2016 To: Sue Wolfgang Employee Benefits Administrator Department of Human Resources City of Carmel Description: Wellness Activity: 4—one hour line dance lessons (max participants 35) Instructor: Chris Ford Location: Carmel Ballroom Dance Studio Dates: 9/15, 9/22, 9/29, 10/6 Invoice Total: $400 Submitted To SEP 20 2016 Clerk TreaSUrer PLS-'IV";= k1<E-GK=�O�: