HomeMy WebLinkAbout204146 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 362295 Page 1 of 1
ONE CIVIC SQUARE DAVID BARNES
CARMEL, INDIANA 46032 5634 RIDGE HILL WAY CHECK AMOUNT: $50.00
AVON IN 46123 CHECK NUMBER: 204146
CHECK DATE: 12/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 419.80 50.00 WELLNESS PROGRAM
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CITY OF CARMEL WELLNESS PROGRAM
PRIZE /REWARD STATEMENT
Date: November 18, 2011
Name of Prize /Reward: Monthly Random Raffle November
Amount: 50.00
Line Item: 419 -80
Check Made Out To: David Barnes
Please Return Check to Sue Coy in Human Resources
D Q 0
DEC 5 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))
11/18/11 419. -80 Nov Monthly Random Raffle $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
Barnes, 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, December 05, 2011
Directo HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund