HomeMy WebLinkAbout196232 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00350221 Page 1 of 1
ONE CIVIC SQUARE LINDA ACOSTA CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 C/O PARKS
CHECK NUMBER: 196232
CHECK DATE: 4113/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1201 R4341980 19344 250.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
a,
P.
y
Date: April 4, 2011
Name of Prize /Reward: First Quarter (All Raffle Tickets)
Amount: $250.00
Line Item: 419-80
Check Made Out To: LINDA ACOSTA
PPepse Return Check `to.5ue Coy din, Humrn Resources
D
APR 1 1 2011
By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Acosta, Linda
IN SUM OF
Employee
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
19344 I 114 All Raffle I 43- 419.80 I $250.00 1 hereby certify that the attached invoice(s), or
TaCL of0
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, April 11, 2011
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. 1995)
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))
04/04/11 14 All Raffle Ticke $250.00
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