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HomeMy WebLinkAbout324013 04/10/18 CITY OF CARMEL, INDIANA VENDOR: 358206 ONE CIVIC SQUARE ANTHONY BASKERVILLE CHECK AMOUNT: $.►►►►►►156.00► ?� CARMEL, INDIANA 46032 9931 RAINBOW FALLS LANE CHECK NUMBER: 324013 FISHERS IN 46037 CHECK DATE: 04/10/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 04.02.18 156.00 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 358206 ANTHONY BASKERVILLE IN SUM OF$ CITY OF CARMEL 9931 RAINBOW FALLS LANE An invoice or bill to be property 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. FISHERS, IN 46037 Payee $156.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 301 Medical Fund Terms 301 Medical 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 04.02.18 50-239.90 $156.00 1 hereby certify that the attached invoice(s),or 4/2/18 04.02.18 Weight Watchers-Session 4 $156.00 301 301 301 301 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,April 9,2018 Lamb, Barbara Director 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 TT tr C IT A�RIVIEL JAMES BRAINARD, MAYOR April 2, 2018 PAYEE: TONY BASKERVILLE (Please return check to Sue Wolfgang) AMOUNT: $156.00 SOURCE: 301 391000 REASON: WELLNESS PROGRAM - FEE REIMBURSEMENT FOR WEIGHT WATCHERS PROGRAM - SESSION 4 APR 10 2018 Clark, T r a as,u,�r41r DEPARTMENT OF HUMAN RESOURCES, ONE CIVIC SQUARE, CARMEL,IN 46032 OFFICE 317.571.2465, FAX 317.571.2409