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165635 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00350221 Page 1 of 1 ONE CIVIC SQUARE LINDA ACOSTA CARMEL, INDIANA 46032 C/O PARKS CHECK AMOUNT: $25.00 CHECK NUMBER: 165635 CHECK DATE: 11/12/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 1047 4359000 25.00 REFERRAL f N ov 0 4 2008 Extended School Enrichment Employee Referral Proram :1047:4354000 BY g ESE Employee: Start Date of Referral: Bonus Amount: Linda Acosta $25.00 Name of Referral: ESE School Site: Julie Spencer B�5'E Emp1Q ee ignature Date I ID Manager Signature Date ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 00350221 Acosta, Linda Terms 1 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1114108 Referral Employee Referral Program /Julie Spencer 25.00 Total 25.00 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 Voucher No. Warrant No, 00350221 Acosta, Linda Allowed 20 D In Sum of mC6 1 G ION FOR 104 Program Fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1047 Referral 4359000' 25.00 1 hereby certify that the attached invoice(s), or 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 5 -Nov 2008 Signature 25.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund