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HomeMy WebLinkAbout199679 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 279500 Page 1 of 1 ONE CIVIC SQUARE JAMES SEMESTER JR CHECK AMOUNT: $25.00 CARMEL, INDIANA 46032 CHECK NUMBER: 199679 CHECK DATE: 7/2012011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 21668 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: Jim Semester Police Tease Return Check to Sue Coy in Human Resources 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)) 07/11/11 11 Weight Loss Ch $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 1 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Semester, James IN SUM OF Employee $25.00 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 j $25.00 1 hereby certify that the attached invoice(s), or I ncc (h�llcnnn 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