HomeMy WebLinkAbout199342 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 361411 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL ALLEN
CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 2411 CUMBERLAN STREET
P 0 BOX 468
CHECK NUMBER: 199342
DUBLIN IN 47335
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 07.11.11 25.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: 7/11/2011
Name of Prize /Reward: Q2 Team Weight Loss Challenge -Third Place
Amount: $25.00
Line Item: 419 -80
Check Made Out To: Crystal Allen Parks
Please Return Check to Sue Corr in Human Resources
D
Q
jui. 18 2011
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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))
07111/11 .l lweight loss cha $25.00
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
Allen, Crystal
IN SUM OF
Employee oqq� tt
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
21868 107.11.11weight I 43-419.801 $26.00 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
Monday, July 18, 2011
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund