HomeMy WebLinkAbout303729 09/30/16 ��''.c,q�.• CITY OF CARMEL, INDIANA VENDOR: 00352957
I �I ONE CIVIC SQUARE HOPE HEALTH CHECK AMOUNT: $'"""`1,692.28•
:q ,� CARMEL, INDIANA 46032 PO Box 39 CHECK NUMBER: 303729
MUTON, . OSHTEMO MI 49007-0039 CHECK DATE: 09/30/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4345000 544578 1,692.28 PRINTING (NOT OFFICE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
HOPE HEALTH ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 39 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
OSHTEMO, MI 49007-0039 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,692.28 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Human Resources 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
544578 43-450.00 $1,692.28 1 hereby certify that the attached invoice(s),or 9/13/16 544578 $1,692.28
1201 101 1201 101
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, September 26,2016
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 ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
--- - - - - - ---RETAIN-T-.W--POR :ON FOR YOUR'RECORDS-- - - - — - - - -- - ------
Exclusive Distributor--IHAC, INC
m9pe 5937 West Main St.
Kalamazoo, MI 49009-9101
HEAT TH Client'No., I Invoice No. P.O. Number
Now thafs amazing! 166655 544578
—Quantity— " :tem- ItemDescription. U M Price.Ter Item= Net Amount
550 820 Hope Health Calendar 2017 Ea. 2.450 1,347.50
1 Cover flap 69.000 69.00
1 Two Color Changes 198.000 198.00
UPS Ground & Handling 77.78
Glerk TN�
Invoice Subtotal 1,692.28
Tax Amount .00
Ship Barbara Lamb Invoice Total 1,692.28
Director of Human Resources
TO: City of Carmel
One Civic Square
Carmel IN 46032
Thank you for your order! Please call 800-334-4094 if you have any questions.
Be sure to see "What's New"at Ivww.HopeHealth,com
ONETMMST