196540 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 279500 Page 1 of 1
ONE CIVIC SQUARE JAMES SEMESTER JR CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032
CHECK NUMBER: 196540
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 TEAM WALKING 200.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: April 6, 2011
Name of Prize /Reward: First Quarter Team Walking Challenge Winners
First Place
Amount: 200.00
Line Item: 419 -80 D Q
APR 1 1 2011
By
Check Made Out To: James Semester
Please Return Check to Sue Coy in Human Resources
VOUCHER NO. WARRANT NO.
ALLOWED 20
Semester, James
IN SUM OF
Employee
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
19344 I 1/4 Team 43- 419.80 $200.00 I hereby certify that the attached invoice(s), or
1A1�14inn
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 N (or note attached invoice(s) or bill(s))
04/06/11 earn Walking Chal $200.00
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