HomeMy WebLinkAbout199076 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365450 Page 1 of 1
ONE CIVIC SQUARE PATRICIA JABLE CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 10130 N RUCKLE STREET
�w r INDIANAPOLIS IN 46280 CHECK NUMBER: 199076
CHECK DATE: 716/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 06.24.11 -500 100.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: June 24,
Name of Prize /Reward: Indy 500 Walking Challenge Random Drawing
Amount: 100.00
Line Item: 419 -80
Check Made Out To: Pat Jable
Please Return Check t® Sue C ®y in Human Resources
E 0
2011
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jable, Pat
IN SUM OF
Employee
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# I Dept, INVOICE NO. ACCT /TITLE AMOUNT Board Members
21668 06.24.11 500 43- 419.80 j $100.00 I hereby certify that the attached invoice(s) or
bills) is (are) true and correct and that the
n 4' materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, June 30, 2011
i
Director, AR
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 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