HomeMy WebLinkAbout199273 07/12/2011 CITY OF CARMEL, INDIANA VENDOR: 365465 Page 1 of 1
ONE CIVIC SQUARE JAMES RANSFORD CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 CIO PARKS DEPARTMENTS
CHECK NUMBER: 199273
CHECK DATE: 711212011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21666 100.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
A PRIZE /REWARD STATEMENT
�J 1l
Date: June 24,1
Name of Prize /Reward: Indy 500 Walking Challenge Random Drawing
Amount: 100.00
Line Item: 419 -80
Check Made Out To: James Ransford
Please Return Check t® Sue C®y in Human Resources
F F! _i', 0 5 20 11
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ransford, James
IN SUM OF
Employee
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
21668 f 06.2411 500 I 43 419.80 $100.00 I hereby certify that the attached invoice(s), or
I 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
Thursday, June 30, 2011
Director, HR
Title
Cost distribution ledger classificatioq 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))
06/24/11 I 06.24.11 500 I I $100,00
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