HomeMy WebLinkAbout202507 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00350609 Page 1 of 1
0 ONE CIVIC SQUARE CALVIN COOPER
CARMEL, INDIANA 46032 1301ST AVE SW CHECK AMOUNT: $50.00
CARMEL IN 46032 CHECK NUMBER: 202507
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 50.00 PRIZE
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2� CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
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Date: September 22, 2011
Name of Prize /Reward: Monthly Random Raffle
Amount: 50.00
Line Item: 419 -80
Check Made Out To: Calvin Cooper
(Utilities Sewer Collection)
Please Return Check to Sue Coy in Human Resources
D A 0
OCT 10 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))
09/22/11 09.22.11 Monthly Random Raffle $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
Cooper, Calvin
IN SUM OF
Employee
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
21668 09.22.11 43- 419.80 $50.00 I 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, October 10, 2011
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund