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HomeMy WebLinkAbout333229 12/11/18 +or_c�gM �� CITY OF CARMEL, INDIANA VENDOR: 372553 ONE CIVIC SQUARE SUSAN SHERER VINCENT, INC CHECK AMOUNT: $*****2,818.75* :q /a�: CARMEL, INDIANA 46032 23 S.BTH STREET CHECK NUMBER: 333229 .y,�roN�. NOBLESVILLE IN 46060 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4340703 101754 2,818.75 MENTAL HEALTH CONSULT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 372553 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SUSAN SHERER VINCENT, INC IN SUM OF$ 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 $2,818.75 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 $2,818.75 1 hereby certify that the attached invoice(s),or 11/29/18 0 mental health counseling $2,818.75 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, December 3,2018 Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer EXHIBIT B Invoice Date, jN atw!pf Company: Sumn Sherer-Vinontt Ino Address&Zip: 23&:�'Str d Suite 12010 Telephone No.. NoMesvillG,11q-°r6U60 Project Name: Police, D partmont Invoice.No. Purchase Order No: I.'C-rsgn;t'rosidijuCF Date GoW:gSc'rvims Provided Cost'Per Hourly Tota Good serrICUS Gwd-,1 (Deseribe tach .ood/sendoe Itm 8010 Servie. separattl.y Acrid in detail) Hours Provided, Worked 11-I - 1.75 bvku --Tralividnal 11-7 1.s hum.its-Ti7ilivfdual 1.14 Tic_mi.—birividtt.Zl 11-7 2.5 bixifk—Jndi,t*4wil 11-8 1-5bvj�-"�_ro,�l Ita 5 11-13 2hom'.-,—Debriefing 11-15 2�u:»tr. —Tm!ividm1 . 11-16 1.5 husu: .riTtidividual 11-20 3.51 aam—Individual 1 hcs,zr 1600 11$ 1 LS hour—Individual 9,75 Maar; 18,75 11-'�: .'tltcst9rw—iciclil.'►�$�2.'tl - -- `� 11=?� 13ttstr= Trti}i�idil�:l G}2��1� ' _24.73 h yrs=231S.7 S d jt�R�tlDf�' :�aes�ii�S17crcc-b'inu:nt Printed Nnlme