155329 01/10/2008 f CITY OF CARMEL, INDIANA VENDOR: 359477 Page 1 of 1
0 ONE CIVIC SQUARE CLAUDIA HERNANDEZ
CHECK AMOUNT: $600.00
CARMEL, INDIANA 46032 946 LENNOX LANE UNIT #207
CARMEL IN 46032 CHECK NUMBER: 155329
CHECK DATE: 1110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4358800 16624 600.00 SPANISH TESTING CONTR
i
i
INVOICE
Services Provided: Spanish Language Proficiency Testing
Name of Professional Providing Services: Claudia Hernandez
Address: 946 Lennox Lane Unit #207 Carmel, IN 46032
Purchase Order No: 16041
Services Provided Date Services Compensation for
Provided Services
Develop Spanish fluency October, 2007 $500.00
test for Carmel Clay
Communications Center
Administration of December 8, 2007 $100.00 per test
individual test for Carmel 1 test for Carmel Clay
Clay Communications Communications Center
Center ($100.00) total
Total Compensation $600.00
Due to Professional
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Sig ature
n
B( to
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
Claudia Hernandez Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Testing
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
01 107108
1, ALLOWED 20
Claudia Hernandez
IN SUM OF
946 Lennox Lane, Unit #207
Carmel, IN 46032
$600.00
ON ACCOUNT OF APPROPRIATION FOR
N0 GENERALFUND
1 Human Resources
Board Members
PO# o INVOICE NO. ACCT #/TITLE AMOUNT
oEPr. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
PaFtia 588 0 raterials or services itemized thereon for
which charge is made were ordered and
received except
20
Signat re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund