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