HomeMy WebLinkAbout202678 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 355473 Page 1 of 1
ONE CIVIC SQUARE DAREN MINDHAM
r' CARMEL, INDIANA 46032 221 CORRAL COURT CHECK AMOUNT: $50.00
FISHERS IN 46038
CHECK NUMBER: 202678
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 419 -80 50.00 WELLNESS PROGRAM
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
1'
Date: October 7, 2011
Name of Prize /Reward: Q3 Aerobic Minutes Beginner Level
Amount: 50.00
Line Item: 419 -80
Check Made Out To: DAREN MINDHAM (DOGS)
Please Return Check to Sue Coy in Human Resources
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))
10/07/11 419 -80 Q3 Aerobic Minutes $50.00
1 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
Mindham, Daren
IN SUM OF
Employee
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
21668 419 -80 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