HomeMy WebLinkAbout330218 09/19/18 %���p''"� CITY OF CARMEL, INDIANA VENDOR: 372553
® ONE CIVIC SQUARE SUSAN SHERER VINCENT, INC CHECK AMOUNT: $*****2,100.00*
,? /,'r CARMEL, INDIANA 46032 23 S.6TH STREET CHECK NUMBER: 330218
'M,�oN�o. NOBLESVILLE IN 46060 CHECK DATE: 09/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340703 101754 2,100.00 MENTAL HEALTH CONSULT
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 372553 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SUSAN SHERER VINCENT, INC IN SUM OF$ CITY OF CARMEL
23 S. 8TH STREET 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.
NOBLESVILLE, IN 46060
Payee
$2,100.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
101754 0 43-407.03 $2,100.00 1 hereby certify that the attached invoice(s),or 9/10/18 0 mental health counseling $2,100.00
1110 101 1110 101
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
Thursday, September 13,2018
8', e6. A.w
Jim Barlow
Chief
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
EXHIBIT B
Invoice
Date:
Nance of Company; ��� � She j e
Address &Zip: �s
Teleph�n�'Iv'e� `�S 1`
Fax No.: � `7-
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing Date Goods/Services Provided Cost Per Hourly Total
Goods/Services Goods/ (Describe each good/service Item Rate/
Service separately and'in detail) Hours
Provided Worked
GRAND TOTAL
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Al' -6e
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Printed Name