HomeMy WebLinkAbout331245 10/17/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 372553
ONE CIVIC SQUARE SUSAN SHERER VINCENT, INC CHECKAMOUNT: $*****1,600.00*
CARMEL, INDIANA 46032 23 S.8TH STREET CHECK NUMBER: 331245
NOBLESVILLE IN 46060 CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340703 101754 1,600.00 MENTAL HEALTH CONSULT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372553 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SUSAN SHERER VINCENT, INC IN SUM OF$ 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
$1,600.00
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 $1,600.00 1 hereby certify that the attached invoice(s),or 10/11/18 0 mental health counseling $1,600.00
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
Friday, October 12,2018
&� e6. 'I.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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
EXHIBIT B
Invoice
Date:
Name of Company: /� I � 1
Andress&Zip: 3 � , V /��J
Telephone No.:,, A16
Fax No.:
Project Name: A4L-zv
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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:
w40,1v J 10 U J
/ 7GRAND TOTAL�d /4
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Printed Name