HomeMy WebLinkAbout199367 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 358281 Page 1 of 1
t ONE CIVIC SQUARE DARRYL WAYNE BELL CHECK AMOUNT: $50.00
`4 CARMEL, INDIANA 46032 711 LAKEVIEW DRIVE
'g NOBLESVILLE IN 46060
CHECK NUMBER: 199367
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 07.11.11 50.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: 7/11/2011
Name of Prize /Reward: Q2 Team Weight Loss Challenge- Second Place
Amount: $50,00
Line Item: 419 -80
Check Made Out To: Darryl Bell Sewer
Please Return Check to Sue Coy in Human Resources
D
Q 0
Jul- 18 2011
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))
07/11/11 11 weight loss chal $50.00
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
Bell, Darryl
IN SUM OF
Employee
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
21668 07.11.11 weight I 43 419.80 $50.00 I hereby certify that the attached invoice(s), or
Incc nh�llonnc
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
67 tvc received except
Monday, July 18, 2011
Director, HR
HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund