327984 07/25/18 CITY OF CARMEL, INDIANA VENDOR: 371816
ONE CIVIC SQUARE PAMELA BAKER
\., CHECKAMOUNT: $********44.20*
9; ;_� CARMEL, INDIANA 46032 C/O COURT CHECK NUMBER: 327984
.,
'�,rrs,`�' CHECK DATE: 07/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 07.20.18 44.20 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995)
Vendor# 371816 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PAMELA BAKER IN SUM OF$ CITY OF CARMEL
C/O COURT 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
$44.20
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
07.20.18 50-239.90 $44.20 1 hereby certify that the attached invoice(s),or 7/20/18 07.20.18 Wellness program fee reimbursement $44.20
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
Tuesday,July 24,2018
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
J�r {
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CIT - tI /IEL
JAMES BRAINARD, MAYOR
July 20, 2018
PAYEE: PAM BAKER (Please return check to Sue Wolfgang)
AMOUNT: $44.20
SOURCE: 301 391000
REASON: WELLNESS PROGRAM - FEE REIMBURSEMENT
FOR WEIGHT WATCHERS PROGRAM - SESSION 5
Sublmlffted
JUL 2 4 2018
Clerk Treac..i.,natr
w�
DEPARTMENT OF HUMAN RESOURCES, ONE CIVIC SQUARE, CARMEL,IN 46032
OFFICE 317.571.2465, FAX 317.571.2409