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HomeMy WebLinkAbout327938 07/25/18 +ur t,Ab u! CITY OF CARMEL, INDIANA VENDOR: 358206 �j ONE CIVIC SQUARE ANTHONY BASKERVILLE CHECK AMOUNT: $*******132.60* x.. a CARMEL, INDIANA 46032 9931 RAINBOW FALLS LANE CHECK NUMBER: 327938 9M,�TON-�� FISHERS IN 46038 CHECK DATE: 07/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 07.20.18 132.60 OTHER EXPENSES VOUCHER NO.j WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 358206 ANTHONY BASKERVILLE IN SUM of$ CITY OF CARMEL 9931 RAINBOW FALLS LANE An invoice or bill to be 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. FISHERS, IN 46038 Payee $132.60 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 07.20.18 50-239.90 $132.60 1 hereby certify that the attached invoice(s),or 7/20/18 07.20.18 Wellness program fee reimbursement $132.60 301 301 301 301 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 { CIT� IMEL JAMES BRAINARD' , MAYOR July 20, 2018 PAYEE: TONY BASKERVILLE (Please return check to Sue Wolfgang) AMOUNT: $132.60 SOURCE: 301 391000 REASON: WELLNESS PROGRAM - FEE REIMBURSEMENT FOR WEIGHT WATCHERS PROGRAM - SESSION 5 Effie To JUL 2 4 2018 Clerk Trpasurer DEPARTMENT OF HUMAN RESOURCES, ONE CIVIC SQUARE, CARMEL, IN 46032 OFFICE 317.571.2465, FAX 317.571.2409