HomeMy WebLinkAbout187701 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 022400 Page 1 of 1
ONE CIVIC SQUARE JAMES BARLOW
CARMEL, INDIANA 46032
CHECK NUMBER: 187701
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 19344 100.00 WELLNESS PROGRAM
r.
Spelbring, James P HR
From: Coy, Sue E
Sent: Thursday, July 08, 2010 10:38 AM
To: Spelbring, James P HR
Subject: Invoice for Reimbursement -to James Barlow
INVOICE $100.00 Payable to lames Barlow
Amount due to City of Carmel em a James Barlow as refund for his ex re for the heart scan done recently by
Healthy Life Screenings. A drawing was held among ose emp ogees who received the service, and Barlow's name was
randomly chosen.
This refund should come from the Wellness budget.
Thanks,
Sue Coy
Employee Benefits Administrator
Department of Human Resources
City of Carmel
317.571.5850 (Ph)
317.571.2409 (Fx)
D Q
JUL 19 2010
By
3 Lt
VOUCHER NO. WARRANT NO.
ALLOWED 20
James Barlow
IN SUM OF
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
19344 I 070810 I 43- 419.80 l $100.00 1 hereby certify that the attached invoice(s), or
l 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, July 16, 2010
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 195 t�;)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07108!90 070810 $100.00
1 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
Clerk- Treasurer