HomeMy WebLinkAbout198982 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 360860 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL EDMONDSON
CARMEL, INDIANA 46032 C/0 STREET CHECK AMOUNT: $100.00
CHECK NUMBER: 198982
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 06.24.11 -500 100.00 WELLNESS PROGRAM
2166
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Z� it
Date: June 24,
Name of Prize /Reward: Indy 500 Walking Challenge Random Drawing
Amount: 100.00
Line Item: 419 -80
Check Made Out To: Crystal Edmondson
Please Return Check to Sue Coy in Human Resources
o Q a JUL 05 2011
By
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 $100.00
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.
ALLOWED 20
Edmondson, Crystal
IN SUM OF
Employee
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO ACCT /TITLE AMOUNT Board Members
21668 06.24.11 500 I 43- 419.80 I $100.00 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
Thursday, June 30, 2011
Director, R
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund