HomeMy WebLinkAbout202666 10/11/2011 a „tif CITY OF CARMEL, INDIANA VENDOR: 00353070 Page 1 of 1
ONE CIVIC SQUARE DAVID MCCOY
CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 C/o
C/o is CHECK NUMBER: 202666
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 419 -80 50.00 WELLNESS PROGRAM
A
CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
�a •w
Date: October 4, 2011
Name of Prize /Reward 3' Quarter Weight Loss Challenge Random 3% Loss
Amount: $50.00
Line Item: 419 -80
Check Made Out To: David McCoy
(IS)
Please Return Check to Sue Coy in Duman Resou
E U
10 2011
VOUCHER NO. WARRANT N O.
ALLOWED 20
McCoy, David
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
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))
10/04111 419 -80 3rd Qtr Wght Loss Challenge $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