HomeMy WebLinkAbout320049 12/21/17 r.Cgq
{'"'''°• CITY OF CARMEL, INDIANA VENDOR: 366071
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CHECK AMOUNT: $*******443.13*
ONE CIVIC SQUARE JAMES BUNDLE
x a,. CARMEL, INDIANA 46032 13707 EGLIN DRIVE CHECK NUMBER: 320049
CARMEL IN'46032 CHECK DATE: 12/21/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
302 5023990 12 .20.17 443.13 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
Vendor# 366071 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JAMES RUNDLE IN SUM OF$ CITY OF CARMEL
13707 EGLIN DRIVE 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.
CARMEL, IN 46032
Payee
$443.13
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
302 Workers Comp Fund Terms
302 Work Comp Fund Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
12.20.17 50-239.90 $443.13 1 hereby certify that the attached invoice(s),or 12/20/17 12.20.17 WC remimbursement 11/8/17 thru 11/12/17 $443.13
302 302 302 302
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
Wednesday, December 20,2017
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
RECEIPT
City ®f Cannell 43174
Fund: 101 General Fund OFFICE OF CLERK-TREASURER Receipt Date: 12/11/2017
Received from: JIM SPELBRING/HR $443.13
For the Sum Of: Four Hundred Forty Three Dollars And Thirteen Cents
v
On Account of: JAMES RINDELL WORK COMP
PAYROLL
Payment Detail: C e k:$443.13 C ck#: ;
Remitter Signature: Authorized Signature:
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL•2009